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ACLU of Hawai'i Membership Form

Are you a New Member? yes/no
Or is this a Renewal? yes/no

Name(s):				
Address:					
City:				State:       Zip Code:
Home Phone:			Work Phone:
E-Mail Address:

If you are not using a credit card leave this section blank
Credit Card No.:		Visa:		
				Expiration:
				Mastercard:	
				Expiration:
Amount:      Individual $20      Limited Income $5
             Joint      $30      Other:
              (Two People)

Just print this form and mail it to:

ACLU of Hawai'i
Post Office Box 3410
Honolulu, Hawai'i 96801-9948

	Make checks payable to "ACLU".
	ACLU membership fees are not tax-deductible.  
		For tax-deductibility, give to the 
		ACLU of Hawai'i Foundation.




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