2009 Membership Dues Form

2009 Membership Dues

Make Your Faith More Than Weekend Words!
Stop Political Extremists From
Using Religion as a Political Tool.
Join the Interfaith Alliance - Long Island Chapter.

Yes! I/we want the mainstream community of faith to be heard!

My annual membership dues are:
   $25 for regular (or more) ________
   $20 for Senior
   $15 for Student

Name:                                                                          .
          As you wish it to appear in our membership records

Address:                                                                       .

City:                                           State:         Zip:             .

Home Phone: (      )               .   Business: (     )                   .

Email:                                                                                .

Make checks payable to The Interfaith Alliance of LI and return to:
    Dolores Tibbets
    86-34 261st Street
    Floral Park, NY 11001
For information call Norma Cohen at 516-627-1156.

Interfaith, interfaith, interfaith alliance, Interfaith Alliance, Long Island, New York