Contribution Form

Thank you for your defense of liberty and the constitution!

To support the work of the  Santa Clara Valley Chapter of the ACLU of Northern California, please print this page, fill it out, and mail it with your donation to:

Name:    ____________________________________________

Address: ____________________________________________

             ____________________________________________

             ____________________________________________

             ____________________________________________

Amount enclosed: ___________________

Comments:__________________________________________

___ I want my contribution to be tax-deductible where allowed by law.
        My check is made out to the ACLU Foundation.

___ I want to support the ACLU's local lobbying efforts.
        My check is made out to the ACLU and is not tax-deductible.

___ I want my contribution to remain anonymous.

___ Please send me membership information.

Santa Clara Valley Chapter of the ACLU of Northern California, Inc.

www.acluscv.org  ?  acluscv@hotmail.com  ? 408-327-9357 (voicemail only)  ? P.O. Box 5303, San Jose CA 95150