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Via Post: Print this form, fill out, and mail with payment (check or credit card) to:
Via Fax: Print this form, fill out, and fax to 425.603.0813 (credit card payment only). |
I/We wish to join Vegetarians of Washington. I/We enclose:
I/We wish to renew our membership with Vegetarians of Washington. I/We enclose:
$22 (Individual) $35 (Family) $50 (Supporter) $100 (Patron)
Name(s):___________________________________________________________________
Address:___________________________________________________________________
__________________________________________________________________________
City:_____________________________________ State:______ Zip:__________________
Home Phone:_______________________ Work Phone:_________________________
E-mail(s):__________________________________________________________________
Do you wish to receive a free subscription to the Vegetarian
Times?
Yes
No
This will be sent to your address nine times per
year.
We respect your privacy. We have ensured that your name and
address will not be shared or used for any other purposes.
Paying by Check: Please make checks payable to: Vegetarians of Washington
Paying by Credit Card:
Mastercard®
Visa®
Card
#:_______________________________________________
Expires:___________
Zip code if different from above___________________________________________3-digit security code ____________
Signature:_____________________________________________ Today's Date:________________
Vegetarians of Washington are a 501(c)3 non-profit organization. We do not share your information with anyone else without your prior permission.
