CENTER FOR THE WOMEN OF NEW YORK
(formerly Queens Women’s Center)

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MEMBERSHIP BLANK

 Enroll me as an active member

 I would like to volunteer for the following committee(s): _____________________________________________________________

 I have special training and would like to volunteer to lead a class, support group, legal clinic, financial clinic, etc. __________________

Name: _____________________________________________

Home No.: ________________________ Work No.: _______________

Address: _________________________________________________________

__________________________ Zip: ____________

E-mail Address: __________________________________________

Fax No.: ______________________________________________

Please make checks out to Center For the Women of New York

 $15 (Income $0 to $15,000)
 $25 (Income $15,000 to $25,000)
 $35 (Income $25,000 and over)
 $50 Friend

 $75 Business & Professional Women
 $100 Sponsor
 $250 Corporate Member

CWNY is now open for advertising in our Newsletter. If you wish to place an ad, please call us for rates.

Please mail to: Center for the Women of New York
Queensborough Hall, 120-55 Queens Boulevard, Room 325, Kew Gardens, NY 11424 « (718) 793-0672