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MEMBER INFORMATION
Name
Address
City State Zip
Phone FAX
Email
METHOD OF PAYMENT
Cash
Personal
Check (Make all checks out to EarthSave)
Credit
Card (Circle One)
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VISA
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MasterCard
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American
Express
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Account Exp date
Name as Appears on Card
Signature
_____________________________________
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NEWSLETTER
I prefer to receive my local newsletter on
paper.
I prefer to receive my local newsletter by
email.
I AM INTERESTED IN (please
check all that apply)
A Kids Group
Volunteer Opportunities
VegPledge
Dietary Transition Program
Test Cows Now - BSE testing campaign
Other
Print out and mail with payment to:
EarthSave International
P.O. Box 96
New York, NY 10108
Receive a complementary
copy of John Robbins' new book The Food Revolution with a new and renewing memberships at the $35
level and above. Extra books are available from the chapter at a
special price of $15 each. Books are available for pick up at every
monthly potluck and all special events.
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