ONLINE REGISTRATION FORM

To join and pay online, please fill out the form below. Then, when you click the submit button, you will be taken to a secure page where you can make your payment by PayPal or by credit card.

If you prefer to pay by mail, please print out THIS FORM, complete it and mail it along with your dues to:

Joe Gibson
Membership Chair
5 White Place
Bloomington, IL 61701

Thank you!

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Member: $65.00
Student Member: $30.00
Household Membership: $95.00

I prefer a printed black and white copy by mail.
I prefer to receive my newsletter by email.



Gun violence prevention
Health care
Women's issues
Campaign finance reform
Clean air, water, and climate change
Illinois fiscal policy
Local Housing
Local mental health action
Illinois redistricting
Graduated income tax
Local land use and development

Other Interests:



Communications:
Write press release/blog
Help with newsletter
Update Facebook
Send emails
Update website
Design ads, signs and flyers

Membership:
Serve on a committee
Help with administrative tasks
Short term help with events (Fall Kick-off, Annual meeting, other)

Programs:
Serve on committee to plan educational programs
Help set up on day of event

Voter Registration:
Serve on committee to plan outreach
Help register voters

Voter Services:
Committee to plan candidate forums
Help on day of forum

Other:
Help with legislative interviews
Help with fundraising activities and events
One-time-project: contact me when needed to see if I'm available
Moderator
Serve as a director of the board
Observer corps (attend City Council, County Board, School Board, etc... meetings)

Other Assistance:
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