Civilian-Based Defense Association
Membership/Subscription Form

Name:  
Address:  
City:  
State:  
Zip Code:  
Country:  
Telephone:  
E-Mail:  
  • I want to join the Association.
    • $25 Basic
    • $5 Low Income
    • $50 Supporting
    • $100 Sustaining
    • $500 Lifetime
    • $50-$1000 Associative (for Organizations and Institutions)

NOTE: Membership includes the Association's magazine, Civilian-Based Defense.

  • I wish to subscribe to the magazine without membership in the Association. $15
  • I am enclosing an additional contribution of $____ to further the work of the Association.
  • Please send an acknowledgement.
  • I do not need an acknowledgment.

 

(The Civilian-Based Defense Association is a tax-exempt, 501 (c) (3) organization.)

Please print this page, fill it out, and mail it together with your donation to:

Civilian-Based Defense Association
P. O. Box 1204
Moorhead, MN 56561-1204

 

 

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