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Peace and Justice Works
  Donation Form

First name:


Last name:

Address:





City: _________________   State: ____

Zip: _______________

Phone (optional):


E-mail Address (optional):


Enclosed is a check or money order for:
___ $250
___ $100
___ $50
___ $25
___ $10
___ $15-40 (sliding scale) membership
   (membership also 4 hrs/year volunteer and
   assumes you will participate in meetings)

___ Other $______

 

 

I would like to direct my donation to:
___ Peace and Justice Works
        General Fund
___ Portland Copwatch
___ Iraq Affinity Group
___ Portland SOA Watchers
___ Sarajevo Peace Centre
___ www.pjw.info (website)
___ Wherever it is most needed

Comments:



My donation is in honor of/in memory of:


Send acknowledgment of my donation to:

First name:


Last name:


 

 

Address:




City: _________________

State: ____   Zip: _______________


Print out, fill out, and mail this form to:
Peace and Justice Works
PO Box 42456
Portland, OR 97242
(503) 236-3065

Peace and Justice Works is a 501(c)3 tax-exempt educational organization. Donations are tax deductible.

Page posted July 6, 2008, updated October 19, 2011;
posted to Portland Copwatch Site June 18, 2012, updated July 4, 2012
Download donation form as .pdf file
Return to Portland Copwatch page
Return to Iraq Affinity Group page
back to Peace and Justice Works home page