www.nrcatactionfund.org
[email protected]
NRCAT Action Fund Membership Form Name
Address 1
Address 2
City
Zip Code
Email
Phone
Type of Membership
Amount Enclosed
(Please check one)
Individual ‐ $40
Family ‐ $70
Additional Contribution (Please make a checks payable to NRCAT Action Fund)
Limited Income Membership (Please write in the amount that you are able to give) I would like to make an additional contribution of $______ to the NRCAT Action Fund.
Please make your check out to the NRCAT Action Fund and mail it to the National Religious Campaign Against Torture Action Fund, 316 F Street NE, Suite 200, Washington, DC, 20002. NRCAT Action Fund membership contributions will be used to impact political campaigns, and are therefore not tax-deductible.
National Religious Campaign Against Torture Action Fund 316 F Street NE, Suite 200, Washington, DC 20002
