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2009 printable joinform.indd

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2009 printable joinform.indd Powered By Docstoc
					                               YES, I want to support the ACCESS FUND

                                                                                                                 PRINT AND MAIL TO:
     DONATION TYPE                 New        Renewal                                                               The Access Fund
                                                                                                                     P.O. Box 17010
                                                                                                                   Boulder, CO 80308
           I’ve included a check payable to the Access Fund
                                                                                                                     888-8-MEMBER
           Bill my: VISA      Mastercard       Discover    Amex      (circle one)
                                                                                                                    (888-863-6237)
                                                                                                                  www.accessfund.org
     MAILING AND BILLING INFO

     card #                                                                     exp. date


     signature                                                                  phone


     Mailing address                                                            Billing address


     city, state, zip                                                           city, state, zip


     email
     MEMBERSHIP LEVEL
     Membership starts at $35.00
         $1,000**
         $500**            *Contributors of $50 or more receive an AF organic t-shirt from prAna.
                           **Contributors of $100 or more receive a gift as part of the AF Membership Rewards Program.
         $250**
         $100**
         $50*
         $35
         $                 other

     The Access Fund is a 501 (c)(3) non-profit organization and contributions are tax-deductible to the full extent of the law.

     The Access Fund occasionally lends its mailing list to organizations involved in issues you may also find of interest.
     If you DO NOT wish to have your name exchanged, please check here.


                                   ACCESS FUND MEMBERSHIP REWARDS
              To show appreciation for your support, we offer one of the following gifts at a qualifying donation level.*
   NO THANKS, KEEP THE GIFT and put 100% of my membership contribution toward the AF’s important work.




 $1000                             $500                      $250                             $100                        $50+
Bluewater or Sterling          The North Face Base         Black Diamond                    Access Fund                 Access Fund T-Shirt
                                                                                                                        organic cotton tee from prAna
60m dynamic Rope               Camp Messenger Bag          Apollo Lantern                   Piton Bottle Opener
*taxable value $100            *taxable value $50          *taxable value $25               *taxable value $10          *no taxable value

    Please send me a 60m            Please send me a TNF       Please send me a BD              Please send me an AF        Men’s: S M L XL
    rope                            messenger bag              lantern                          bottle opener               Women’s: S M L XL

               *Your tax-deductible amount of the donation is limited to the excess of money over the value of goods received.
                       Gift items subject to change. To view most up-to-date gift offers, visit: www.accessfund.org/mip

				
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posted:3/29/2010
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