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

MEMBERSHIP BLANK

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� 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: ____________

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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

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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