From Minnesota Religious Coalition for Reproductive Choice

MN Religious Coalition for Reproductive Choice
122 W. Franklin Ave. #303
Minneapolis, MN  55404
(612) 870–0974

Yes, I want to support the Minnesota Religious Coalition for Reproductive Choice!
My tax-deductible gift is enclosed.

__ $500 __ $200 __ $100 __ $75 __ $50 __ $35 __ other

 
__________________________________________________________
Name

__________________________________________________________
Address

__________________________________________________________
City /State/ Zip

__________________________________________________________
Home phone (include area code)

__________________________________________________________
Work phone (include area code)

__________________________________________________________
E-mail address

__________________________________________________________
Religious Affiliation

 
Are you a member of the clergy? __ yes __ no

__ I would like to receive the MNRCRC e-newsletter. Please add my e-mail address to the list.

__ Please send me information about volunteer opportunities with the MN Religious Coalition.

__ Please send me information about Supporting Congregations.

Retrieved from http://www.mnrcrc.org/GetInvolved/ContributionForm
Page last modified on November 08, 2008, at 07:00 PM