RHYTHM in COMBINATION--


BECOME INVOLVED: 

Yes I want to become a member of AIUSA:

 

_____  Individual ($25 or more per year)

_____  Couple ($40 per year)

_____  Senior/ Limited Income/ Student ($15 per year)

_____  Other

(for more options:  special gift, gift annunity, Partners of Conscience, purchase merchandise, see, www.aiusa.org)

 

Name:

Address:

City:  
State:                                              Zip Code:

Phone:    
Email:


____  Check here if you do not want your postal information exchanged with other organizations.                                          

(Contributions to Amnesty International are tax deductible.  Make checks payable to Amnesty International USA)

Mail To: 

Amnesty International USA
Membership Services Dept
5 Penn Plaza  16^th Floor
 
New York, NY  10001