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Peace and Justice Works
  Donation Form

 

First name:


Last name:



Address:






City: _________________

State: ____

Zip: _______________

Phone (optional):


E-mail Address (optional):


Enclosed is a check or money order for:
___ $250
___ $100
___ $50
___ $25
___ $10
___ $20-45 (sliding scale) membership
    (membership also 4 hrs/year volunteer and
    assumes you will participate in meetings)

___$20 annual subscription to
    the People's Police Report
___ Other $______

 

I would like to direct my donation to:
___ Peace and Justice Works
        General Fund
___ Portland Copwatch
___ Iraq Affinity Group
    __Ruth Holt Memorial
       Peace Journey Fund
    __Jan Bone Memorial Fund
        for Public Forums
    __Ann Huntwork Memorial Fund
        for Creative Action
___ Portland SOA Watchers
___ www.pjw.info (website)
___ Wherever it is most needed

Comments:



My donation is in honor of/in memory of:


Send acknowledgment of my donation to:

First name:


Last name:


 

 

Address:




City: _________________

State: ____   Zip: _______________


Print out, fill out, and mail this form to:
Peace and Justice Works
PO Box 42456
Portland, OR 97242
(503) 236-3065

Peace and Justice Works is a 501(c)3 tax-exempt educational organization. Donations are tax deductible.

Page posted July 6, 2008, updated November 14, 2018
Download donation form as .pdf file
Return to Portland Copwatch page
Return to Iraq Affinity Group page
back to Peace and Justice Works home page