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JOIN NACPAC

Our mailing address:
National Action Committee w   3389 Sheridan Street, #424 
Hollywood, FL 33021 

To become a dues-paying member of NACPAC, fill in and return this form together with your check or money order. Make your Personal or Sole Proprietor checks payable to NACPAC. Corporate checks are not permitted by law.


NAME

________________________________________________

ADDRESS

________________________________________________

CITY, STATE, ZIP

________________________________________________

USA CITIZENS OR RESIDENTS ONLY

PHONE

_________________ (HOME) _________________(WORK)

 

_________________ (CELL) _________________ (FAX)

E-MAIL

________________________________________________

OCCUPATION

________________________________________________

EMPLOYER

________________________________________________

I want to receive periodic "action alert" or "national news" e-mailings:  Yes No

General Membership $100-249 annual
Sustaining Membership $250-499 annual
Joshua Society $500-999 annual
Capitol Club $1000-1799 annual
Chai Society $1800-2499 annual
Benefactor $2500-4999 annual
Grand Benefactor $5000 annual


Government Mandated Notices:
The Federal Election Commission requires political committees to report the name, mailing address, occupation and name of employer for each individual whose contributions aggregate in excess of $200 in a calendar year.
The IRS requires us to notify you that any contributions to NACPAC are not deductible for federal income tax purposes.