Social Democrats, USA

SOCIAL DEMOCRATS, USA

<b>SOCIAL DEMOCRATS, USA CONTRIBUTION FORM</b>

CONTRIBUTION FORM


____ I want to contribute to Social Democrats, USA

____ I want to become a member of Social Democrats, USA



Enclosed is my contribution of _____ $25.00 _____$50.00 _____ $100.00 $_____ other


NAME_____________________________________________________________________________________________

TITLE___________________________________________________________________________________________

ORGANIZATION___________________________________________________________________________________

ADDRESS_________________________________________________________________________________________

CITY________________________________________________ STATE_________________ ZIP___________________

PHONE____________________________________________ E-MAIL_________________________________________


Please make all tax-deductible contributions payable to Social Democrats, USA and mail to:
815 15th Street, NW, Suite 921
Washington, D.C. 20005

 

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