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Minnesota NOW Print & Mail Membership Application

If you prefer, you can easily and securely JOIN NOW ONLINE through Minnesota NOW.
Just click give now button to go to our online payment page to select your membership option!

YOUR INFORMATION:

Name ___________________________________________________________

Address _________________________________________________________

City _________________________________State ________ Zip __________

Phone - Home ________________________ Work _____________________

E-mail address:___________________________________________________

I wish to become a member of _________________________________ Chapter.*
If you know what the chapter number is, please list it here. MN __ __ __ __

*Your annual dues include membership in National NOW, Minnesota NOW, and a local chapter if you select one.

DUES:

____$35.00 Regular Annual Dues

____Limited-Income Annual Dues (Minimum required $ 15.00)

____Gift Membership (be sure to enclose member contact information & your message) (Minimum required $ 15.00)

If you cannot afford the minimum requested dues, please contact Minnesota Now to ask about opportunities to earn a "Membership by Volunteering" 10 hours of service.

____I would like to add an additional contribution of $ ________ at this time.


$_________Total Amount Enclosed or Authorized To Charge (continue below)

Please mail this form with your payment to:

Minnesota NOW
550 Rice St., #102
St. Paul, MN 55103

Please make check payable to: Minnesota NOW. (Due to our public policy work, donations are not tax deductible.)

OR

With my signature below I am authorizing a charge for the "TOTAL AMOUNT" indicated above:

__Visa __ Mastercard __ Discover ___ AMEX #_____________________________ Exp. Date_____________

Authorized Signature _____________________________________________________

Please print name as on credit card account: ___________________________________

If address on credit card account is different than above, please print it here:

_______________________________________________________________________

VOLUNTEER!

This link will take you to our Volunteer Information Form. Please print out this PDF form and mail it back with your membership form or anytime in the future. FFI: email or call us at 651-222-1605.

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