Sisters Network Solano County

A National African American Breast Cancer

Survivorship Organization

2012 Affiliate Chapter Associate Membership Form

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*Required Information

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Sisters Network Solano County

P.O. Box 10187

American Canyon, CA  94503

Phone:707/642-6077   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

2012 Affiliate Chapter Associate Membership Form

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.

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