____ $100 - Sustaining Membership
____ $20 - Regular Membership
____ $5 - Limited Income Membership
____ $1 - Student Membership
$______ - Additional Contribution
$______ - TOTAL ENCLOSED
Name: ____________________________________________
Address: _________________________________________
City: _______________ State: ______ Zip: _________
Work Phone: ____________________
Home Phone: ____________________
Fax Phone: ____________________
Internet: ______________________________________
WWW Page: ______________________________________
Are you currently enrolled as a student? _________
If yes, where? ___________________________________
We are constantly looking for people who might be interested in supporting our efforts (both financially and politically). If you know of someone who might be interested, please give us an address and we would be happy to get in touch.
Name: ____________________________________________
Address: _________________________________________
City: _______________ State: ______ Zip: _________
Internet: ________________________________________
Checks (and money orders) should be made payable to And Justice for All and should be mailed to the following address:
P.O. Box 53079
Washington, DC 20009
Contributions to And Justice for All are not tax deductible and
may be used to advocate the election or defeat of candidates for
federal office. 
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