__
I would like to help with the Men in Balance
effort. Enclosed is my check for:
Other
_____________
__
Contact me about other ways I might help.
__
Add me to the newsletter email list
Name
_____________________________
Address
___________________________
City
________________ State__________
Zip________
Phone__________________
Email
_____________________________
You may also contribute online!
(Address
on reverse side of this panel)
Another
person who might be willing to help:
Name
_____________________________
Address
___________________________
City
________________ State__________
Zip________
Phone__________________
Email
_____________________________
Thanks
for your help!!!