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Formerly the Mid-South Interfaith Network for Economic Justice     

Faithfully seeking justice with workers                                                         

  Yes, I want to make a gift to the
  Workers Interfaith Network!

  Your donation to Workers Interfaith Network will help us
  seek a living wage, decent benefits, and safe and respectful working
  conditions for working people in our community.

   Please print out and mail this form, with your check made payable
   to "Workers Interfaith Network" to 3035 Directors Row, B - 1207,
   Memphis, TN 38131.

   Click here if you prefer to make a secure on-line donation using
   your credit card.

  Name ____________________________________________
  Address __________________________________________
  City ________________________ ST____ Zip ___________
  Phone ___________________________________________
  E-mail ____________________________________________

  Please select a gift amount:
  ___ $30 (Basic Membership)
  ___ $50
  ___ $75
  ___ $100
  ___ $15 (Low-Income/Student/Senior)

 ___ My check made payable to "Workers Interfaith Network" is enclosed.

 ___ Please charge to my Visa or MasterCard: __ __ __ __ - __ __ __ __ -__ __ __ __ -__ __ __ __
                   Expiration Date: __ __/__ __

  Allies for Justice: Workers Interfaith Network's Monthly Giving Program

  I wish to have a monthly gift of $_____ automatically deducted from my
  checking account each month. I am enclosing a voided check to verify
  my bank information. I  understand that I can change or cancel my
  monthly gift at any time by contacting Workers Interfaith Network.
  Signature _________________________________ Date ________

  Memorial or Honorary Gift

  This gift is:
  in memory of _______________________
  in honor of _________________________

  Please send acknowledgement of my gift to:
  Name ____________________________________________
  Address __________________________________________
  City ________________________ ST____ Zip ___________

  Workers Interfaith Network is a 501(c)(3) organization;
  your gift is tax-deductible to the full extent allowed by law.