National
Organization    
for Women 		Join NOW
(Please print and mail this form to us wih your check.)
Regular dues, $35 covers national, state and local dues.
Sliding fee for those who can not afford full fee, $15 to $34.

_________________________________________________________
name

_________________________________________________________
address              city              state              zip

_________________________________________________________
phone, day                  phone, evening                  Email

(optional)
I'd like to affiliate with the following chapter: (check one)

__ 0025 Akron
__ 0028 Athens
__ 0030 Ashtabula
__ 0080 Cincinnati 		  __ 0100 Greater Cleveland
__ 0120 Columbus
__ 0140 Dayton 		  __ 0420 Oberlin
__ 0435 Port Clinton
__ 0520 Toledo Area 		   __Calhoun-Updegraff (Wellsville)
__ 0590 Greater Youngstown
__ 0595 Youngstown State University
__ 0650 Zanesville

I'd like contact information on the following Campus Action Network Groups (OH CAN): (check as many as you would like)
 
__OHCN01 Baldwin-Wallace College
__OHCN02 University of Cincinnati
__OHCN03 Oberlin College
__OHCN04 Marietta College
__OHCN05 Whitmer High School
__OHCN06 Kent State University
 
 
 
Susan M. Bader, President Ohio NOW
www.ohionow.org
ohionow@ohionow.org
614-485-0996
or hand in to your local chapter treasurer.
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