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M.A.I.N. Membership Form

______ I would like to come to the next M.A.I.N. meeting. Please send me a meeting notice.

______ I am already a M.A.I.N. member. Here is $1.00 for this year's membership dues. (Extra donation $________)

______ Here is $1.00 for individual membership dues. I'd like to make an extra donation of $__________

______ I can't make a donation at this time, but would like to be a member and receive the newsletter, M.A.I.N. Update.

Here is $50 for our organizational membership. Here's an extra donation of $_____. List our group on the MAIN brochure: YES NO (circle one)

Please PRINT!

NAME___________________________________________

ORGANIZATION (if organizational membership)_________________________________________________

MAILING ADDRESS_______________________________

TOWN/CITY______________________________________

ZIP______________________________________________

Town in which you live.______________________________

PHONE___________________________________________

E-MAIL__________________________________________

DATE____________________________

Please make checks out to: M.A.I.N.

For tax-deductible donations, make checks out to:

Maine Equal Justice Partners/MAIN Expenses
(Donations to either are used for the same MAIN expenses.)

Mail form to: M.A.I.N., P.O. Box 69, Hallowell, ME 04347
Questions? Call Russell Anderson at 832-4754

When you return this form-with or without a donation-you will become a MAIN member, and will receive M.A.I.N.'s newsletter and other informative mailings. If you want to get meeting notices, be sure to check "meeting notice" above. Those with email will get meeting notices, action alerts, etc. by email only unless you also ask for them by regular mailing.

Membership dues are used for: child care and travel reimbursements for those who attend MAIN meetings, events and legislative hearings; printing and mailing the newsletter, action alerts, and meeting notices; phone expenses; and food for meetings."

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