SCCNOW MEMBERSHIP APPLICATION
Yes, I want to be a part of NOW so there is one strong voice for equality,
I wish to affiliate with the Santa Cruz County Chapter #0590 (cross out if
you do not wish this).
Name ________________________________________________________
Address ________________________________________________________
City _________________________________State ________
Zip ______________
Phone - Home ________________________
Work __________________________
Signature ________________________________________________________
All dues include membership in SCCNOW, California NOW and
National NOW.
________$40.00 General Membership
________$20.00 - $40.00 Sliding Scale
________I wish to make a donation directly to the Santa Cruz Chapter:
$________________________
I wish to contribute the following skills:
________Fund-raising
________Political Action
________Newsletter
________Public Relation
________Phoning
________Membership Outreach
________Chapter Board Position(s)
I am interested in the following issues:
________Reproductive Rights
________Building Diversity/Civil Rights
________Equal Rights Amendment
________Global Feminism
________Women's Health Care Access
________Older Women's Issues
________Title IX/Educational Equity
________Women and AIDS
________Other ____________________
If the chapter does not currently have a task force in my interest area, I
would be willing to help form one and/or to organize an action with the
advice and consent of chapter leadership.
________Yes ________No
Thank you for your unique and valuable support. Welcome!
Print and mail with check made payable to:
Santa Cruz County NOW
PO Box 1119 Felton CA 95018-1119