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

Your contributions are tax deductible to the full extent allowed by law.
The Living Wage Coalition is a project of New Economy, Working Solutions a
registered 501(c)(3) tax-exempt organization.