Membership Form

Become a member of the Santa Clara Valley Chapter of the ACLU of Northern CA and protect civil liberties. Print this page, fill it out, and mai with your duesl email You can join and become a "card-carrying member of the ACLU" for as little as $20 (or only $5 for students) -- and even better, if you use our chapter membership application, your local chapter will receive the entire first year of your membership dues to help fund our programs in Santa Clara Valley.  PLEASE DO IT TODAY!

Santa Clara Valley Chapter of the ACLU of Northern CA
P.O. Box 5303
San Jose, CA 95150-5303

Name:   ____________________________________________

Address:___________________________________________

           ___________________________________________

Phone:  ___________________  FAX:  ___________________

Email, etc:__________________________________________

Enclosed are my non-deductable membership dues of:
         ___ $20     Individual member
         ___ $30    Joint member
         ___ $50    Contributing member
         ___ $125  Sponsoring member

         ___ $5      Student member


made payable to the ACLU, for local ACLU lobbying efforts.

___ Here is my tax-deductible contribution,
        made payable to the ACLU FOUNDATION,
        for ACLU legal, public policy, and education programs.

___ Please send membership information to:

       _____________________________________________

       _____________________________________________

       _____________________________________________

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

www.acluscv.org  .   acluscv@acluscv.org  . 408-462-2581 (voicemail only)  P.O. Box 5303, San Jose CA 95150

Join our announce list at http://acluscv.org/mailman/listinfo/announce-list_acluscv.org