I WANT TO JOIN CUFA

Name

Street Address

City, State, Zip

Email Address

Phone Number: cell- home-

My area of interest is:

I am available for (tabling, demonstrations, leafleting, administrative: research, press releases, fund raising, etc.):

Times and days I am available:

How did you hear about CUFA?:
Bumper Sticker, Referral by: , Website Link at www. , Event Name & Date:
__________________________________________________

Annual Fee

Student ($7)___ Individual ($15) ____ Family ($20)

Please print this form and

send it along with a check made payable to CUFA:

PO Box 170414

Milwaukee, WI 53217