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Membership Application

NAME:
ADDRESS:
CITY:
STATE:
ZIP:
TELEPHONE:
EMAIL:
REGISTERED PARTY:
NON-TAX-DEDUCTABLE CONTRIBUTION:
(make any checks payable to "Enrique Cardiel")

Mail To our Outreach Committee at:
Partido Nacional La Raza Unida - Nuevo México
P.O Box 40376
Alburquerque, NM 87196

Any contributions are voluntary and help with printing, mailing, the Website, events, and other outreach. Since we don't receive any government or corporate funding this is very helpful.
Donations are greatly appreciated but are not mandatory for membership at this time. Suggestions are: $10 for low-income; $25; $50; $100; or any other amount you think necessary. You may also send in an amount monthly.

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