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Count Me In! I wish to join NOW and commit myself to take action to bring women into full participation in the mainstream of American society now, exercising all privileges and responsibilities thereof in truly equal partnership with men.

NAME _________________________________   PHONE ( _____ ) ______________

ADDRESS ____________________________________________________________

CITY __________________________________ STATE ______ ZIP ______________

E-MAIL ADDRESS _________________________

                  VOLUNTEER - Please check all areas of interest
   __ Answering NOW Telephone* __ Phone/Outreach   __ Write articles for publication
   __ Demonstrations/Protests  __ Fund raising     __ Mailings     __ Lobbying
   __ Escort SAT AM               Other (please specify
      *Answering NOW Telephone:
      When are you available to volunteer?  Please circle all that apply
                         Daytime:  M T W Th F Sat Sun
                         Evening:  M T W Th F Sat Sun

     In what areas would You like to lead Westchester NOW to become more active?

National, State and Local Dues:

    $40 Regular Dues
    $25-39 Reduced Dues

Amount Enclosed: ________

Make checks payable to "Westchester NOW."  Print out this form, complete all sections, and send to:

Westchester NOW
c/o Deborah Zipf, Treasurer
10 Stewart Place, PH-AE
White Plains, N.Y. 10603

For more information about Westchester NOW, e-mail us at info@westchesternow.org!

This web site is designed and maintained by Sylvia Eusebi.