Living Wage Coalition of Sonoma County Membership Form

 Annual Membership

 Individual membership $30

 Family membership $50

 Supporter $100

 Leader $250 and up

 Benefactor $500 and up

 Student/low income $10

 Enclosed is my contribution of $____________

Please make your checks payable to:

Living Wage Coalition of Sonoma County

Name:__________________________________

Org.:__________________________________

Address:_______________________________

City:____________________State:________

Zip:__________

Tel:_________________Email_____________

Send to:

Living Wage Coalition of Sonoma County
PO Box 427
Santa Rosa, Ca. 95402

The Living Wage Coalition is a project of the Peace and Justice Center of
Sonoma County a registered 501(c)(3) tax-exempt organization. Your
contributions are tax-deductible to the fullest extent allowed by law.

When you donate to the Living Wage Coalition your name and contact
information will never be given or sold to any other mailing list.