Address:  

                Tel.          

                E-mail:     

Please contact me A.S.A.P. on this matter.

      Do you presently hold a political office? yes no

                               A. If yes, which office?

                               B. Length of service?   

                               C:       Are you willing to participate in any area of Sisters United, Inc.?
                                            yes no
           Indicate below :

Political   Bldg. Fund   Education  

Donation   Membership   Contribution   PR/Media

DUES:  $37.00 Application Fee - non refundable

 --$100.00/year (Payment in full by May)
     ($20 per month for 5 months)
 --$50.00 retirees/students/unemployed    
     ($10 per month for 5 months)
 (Membership from Jan. 1st - Dec. 31st)

Or Mail to:

Sisters United Inc.
2046 Whittlesey St., Flint, Mi.  48503
Attention:  Membership Comm.

E-mail:  dsa357@sbcglobal.net