Membership Form

for Michigan and National

By your membership you are standing with Call to Action’s mission for justice and equality. CTA-MI members will receive three newsletters yearly and a discount on our yearly state conference. With a combined membership you will also receive CTA-USA award winning publications and a discount to the national conference. (The Michigan Chapter of Call To Action is a separately incorporated local organization.)

____ $25 CTA-MI Individual chapter membership __ This is a renewal

____ $35 CTA-USA individual national membership __ I am currently a paid member of CTA-USA

____ $50 CTA-MI & CTA-USA Combined membership ( New Option = $10 savings)
Your contact information will be sent to CTA-USA for combined individual membership.

$ ______ My donation to CTA-MI for all the good work CTA does.

$ ______ Total of check PAYABLE TO CTA-MI. All $ sent to CTA is tax deductible

Name: __________________________________________________

Phone: _____________________________

Address: _________________________________________________________________

City, State, Zip: ________________________________________________________________

E-Mail: __________________________________________________

( Please include your e-mail address for more frequent updates.)

___ I am on Facebook

Mail check and this form to: CTA-MI; PO Box 12161; Hamtramck, MI 48212

All donations are tax-deductable!
Make checks payable to "Call to Action of Michigan".      THANK YOU!

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