---other
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| achrtf@humanrightsidaho.org | ||
| first name | ||
| last name | ||
| address | ||
| city / state | ||
| zip | ||
| phone day / eve | ||
| e mail | ||
| add me to your e-mail list | ||
| add me to your mailing list | ||
| I'd like to VOLUNTEER | ||
| ---at events | ||
| ---tabeling and doing outreach at other Human Rights events | ||
| ---planning & organizing events | ||
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---other
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| I'd like to pledge my MEMBERSHIP. Send me a membership info packet. | ||
| ---$20 Individual Adult MEMBERSHIP | ||
| ---$5 Student MEMBERSHIP | ||
| ---$5 Living Lightly MEMBERSHIP | ||
| ---$75 Non-profit Organization | ||
| ---$100 Corporate/Institutional MEMBERSHIP | ||
| notes / messages | ||