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GRAY PANTHERS
of San Francisco

Join the San Francisco Gray Panthers
Contact us at graypanther-sf@sbcglobal.net

Or print out this form and mail it to us at Gray Panthers, 1182 Market St., Rm 203, San Francisco CA 94102

I want to particpate in the work of the Gray Panthers of San Francisco by becoming a member.
Member $30
Contributing
Member		 $50
Supporting
Member		 $75
Sustaining
Member		 $100

If you are unable to pay the basic membership, please pay what you can.


Name _________________________________________

Street _________________________________________

City _______________________ State ____ Zip _______

Phone __________________ e-mail __________________

Please make checks payable to

Gray Panthers of San Francisco

Are you interested in a Gray Panthers Committee?

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