Membership
Please print out this page by clicking
on the print button on your browser.
Then mail it to the SRCC with your
membership payment or donation.
Thank you!
The Coalition is a Non profit 501 c (3) corporation;
All donations are tax deductable as allowed by law.
Please Print
Name _____________________________________________________________________________
Address_______________________________________________________________________________
Phone ______________________________ E Mail___________________________________________
Enclosed is my check for:
Junior (under 18) Student or Senior membership(over
65) $25.00 per year________
Individual member $52.00 per year (=$1 per week)____
Family Membership $150.00 (=$12.50 per month)_____
Sponsoring Family Membership $365.00 (=$1 per day)
_____
Business Donor $250.00______
Business Sponsor (Free 1 year ad on our web site)
$500.00 ____
Donation only (any amount)_____________
Make checks payable to SRCC and mail to:
PO Box 2241 Neptune City, NJ
07754
732-775-7196
New Jersey Charity Registration Number CH 2165700
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