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La Raza Network P.O. Box 162027 Sacramento, CA 95816 http://LaRazaNetwork.org
2008 MEMBERSHIP APPLICATION
Mission Statement:
"La Raza Network shall be an advocate for all Latinos and will network with other organizations, share issues, and promote working with others to achieve goals as defined by the assembly."
Name: ______________________________________________________________
Address: ____________________________City: ________________Zip: ________
Message Phone: _______________________ Cell Phone: ______________________
Email Address: ________________________________________________________
Representing Organization (if any): _________________________________________________ Organization Address (if known): ______________________________________________________
Please indicate membership level: ______ Single Annual Membership $20 ______ Organization Annual Membership $50 ______ Associate Annual Membership $10 (no vote) ______ Student Annual Membership $5 (no vote)
-- Instructions: Please print application, fill out and mail to address above and enclose check made payable to: La Raza Network, or bring completed application and check to next LRN meeting.--
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