Make
me a member at the:
Freedom Level $1000
James Madison Level $500
Thomas Jefferson Level $250
Thomas Paine Level $100
Samuel Adams Level $25
Total
Membership Dues Enclosed $__________
Underwriting
and sponsorships for individual projects are
also available. Please contact the FOIFT office
for further information.
My
check is enclosed in the amount of $ _________
Please
bill my American Express or Discover Card. #__________________________________
Expiration
date_____/_____/_____
Signature___________________________
Name
_______________________________________________
Affiliation/Company
____________________________________
Address
_____________________________________________
City
________________________ State _____ ZIP__________
Phone
____________________ Fax_______________________
E-Mail_______________________________________________