Print this page and mail to the address listed on the form.
Greater Milwaukee Green Party
Grassroots Democracy * Social and Economic Justice
Nonviolence* Ecological Wisdom
1001 East. Keefe Avenue, Milwaukee Wisconsin 53212 * 414-964-VOTE
I want to join the Greater Milwaukee Green Party!
Name ___________________________________________________________
Address _________________________________________________________
City/State/Zip_____________________________________________________
Phone _______________________ E-mail _____________________________
_____ $25.00 General Membership _____ $10.00 Limited Income
_____ Limited Income. Please waive my membership fee.
_____ I want to make a donation of $ ______
_____ I want to volunteer. Please contact me.
Special skills _____________________________________________________
________________________________________________________________
________________________________________________________________
Make checks payable to: Greater Milwaukee Green Party
Send to: 1001 East Keefe Avenue, Milwaukee WI 53212
|