Sisters Network Solano County

A National African American Breast Cancer

Survivorship Organization

2012 Affiliate Chapter Associate Membership Form

Enrollment Information

*Required Information

Please use printer friendly version of this page and return this entire page with your check made payable to:

Sisters Network Solano County

P.O. Box 10187

American Canyon, CA  94503

Phone: 707/642-6066  Fax: 707/552-1352

Please check any of the following areas that you would like to be a part of:

THANK YOU FOR YOUR MEMBERSHIP

An Affiliate Chapter of Sisters Network Inc.

     ~ A National African American Breast Cancer Survivorship Organization ~

Disclaimer Notice | © 2004 Sisters Network® Inc. All rights reserved | Site Designed by Oliver Consulting Services

YES! I wish to improve the health of African American women today by joining Sisters Network Solano County.

$50 (individuals)

$300 (corporations)

$250 (churches/groups)

In Kind Service (groups)

No, I do not wish to become an associate member at this time, but I would like to contribute.

Fundraising

Marketing

Public Relations

Grant Writing

Speakers Bureau

Newsletter

Other