Yes, I support NORML! Enclosed is my gift of:

 

___ $20 - Regular membership (renewal $15)  ___ $30 - Staunch supporter

___ $25 - Family membership (renewal $20)    ___ other ($____ )

Name __________________________________________________

Address ________________________________________________

City, State, Zip __________________________________________

Phone __________________  Email _________________________

Please make check or money order payable to North Ohio NORML and mail to:

NORTH OHIO NORML

107 Wooster Street
Lodi, OH  44254