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If you appreciate clean indoor air; if you wish something could be done about the tobacco epidemic; if you want to be involved; join ANSR today. ANSR is known for its strong membership base. You can help us continue our work to make Minnesota smoke-free. As an ANSR member, you will receive our quarterly newsletter as well as timely action alerts. You can access our resource enter for a wealth of tobacco-related information. Your membership will help keep ANSR a well-respected leader in tobacco control. You will help ANSR:
Print out this form and mail it with your check to ANSR at the address below ANSR Membership Form Please Print Clearly Name_______________________________________________________________ Address_____________________________________________________________ City_________________________________________________________________ State __________ ZIP ____________ E-mail_______________________________ Evening Phone (_____)__________________Day Phone (_____)______________ I want to help in ANSR's work for nonsmokers' rights as a: Guarantor___$100 ___$200___Other Regular Member ____$25 Sustaining Member___$50 ___$75 Associate Member ___$5 ___$10____$15 Contributing Member ____$30 ____$40 ANSR is a 501(c)(3)
nonprofit organization. Please call me about volunteer work: ____Telephoning on action
hotline phone
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_____Working on annual garage sale ANSR |
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