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Membership Form

Yes! I want to help create a just and ethical public policy by becoming a contributing member of the Long Island Chapter of the Interfaith Alliance.

 

Name (Please Print) _________________________________________________

Street Address _____________________________________________________

City ___________________________ State _________ Zip _________________

Telephone ______________________ e-mail _____________________________

 

Membership: $25

Seniors: $20

Students: $15

Please make check payable to the The Interfaith Alliance, Long Island Chapter, and mail to:

Norma Cohen
125 Woodhill Lane
Manhasset, NY 11030-1716

 

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