Yes, I want to be a part of NOW so there is one strong voice for equality,
I wish to affiliate with the Santa Cruz County Chapter #0590 (cross out if
you do not wish this).

Name ________________________________________________________

Address ________________________________________________________

City _________________________________State ________  

Zip ______________

Phone - Home ________________________  
        Work __________________________

Signature ________________________________________________________

All dues include membership in SCCNOW, California NOW and
National NOW.

________$40.00 General Membership

________$20.00 - $40.00 Sliding Scale

________I wish to make a donation directly to the Santa Cruz Chapter:

$________________________

I wish to contribute the following skills:
________Fund-raising
________Political Action
________Newsletter
________Public Relation
________Phoning
________Membership Outreach
________Chapter Board Position(s)

I am interested in the following issues:
________Reproductive Rights
________Building Diversity/Civil Rights
________Equal Rights Amendment
________Global Feminism
________Women's Health Care Access
________Older Women's Issues
________Title IX/Educational Equity
________Women and AIDS
________Other ____________________

If the chapter does not currently have a task force in my interest area, I
would be willing to help form one and/or to organize an action with the
advice and consent of chapter leadership.

________Yes     ________No

Thank you for your unique and valuable support. Welcome!

Print and mail with check made payable to:
Santa Cruz County NOW
PO Box 1119  Felton CA  95018-1119

• Return to homepage