AMERICAN CIVIL LIBERTIES UNION

Genessee Valley Chapter/ NYCLU

121 North Fitzhugh Street

Rochester, New York 14614

(585) 454-4334

You may use this form to join the Genesee Valley Chapter of the New York Civil Liberties Union and to make tax deductible contributions to the Chapter. We welcome your support.

Joining the Genesee Valley Chapter automatically makes you a member of the New York Civil Liberties Union and the American Civil liberties Union. 

I wish to become a card carrying member of the NYCLU-Genesee Valley Chapter.  Make membership checks payable to: NYCLU/GVC. [Membership dues are not tax deductible.] .  

              
                $ 20 - Individual Membership

          $ 30 - Joint Membership


I wish to make a tax deductible contribution. Make checks payable to the New York Civil Liberties Union-GVC Foundation or NYCLU/GVC-F. Current members of the Genesee Valley Chapter may use this form for contributions. New members may use this form to make contributions in addition to their membership dues.  

            $500 (Champion)

            $250 (Friend)

            $125 (supporter)

            $ ______

            ____  I am already a member of the Genesee Valley Chapter.


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