Membership

Membership Application

National Council of Censors
Membership Application
(402) 991-8124

Date: ____________Memberships Status: New_____Renewal______

Name:__________________________________________________
        (Title)          (First)            (Last)

Address:________________________________________________

City:______________________State:______Zip:________________

Phone:____________________E-Mail:________________________

Enclosed are my annual dues of $13.00 dollars (one dollar for each individual state in the union in 1787 when the Constitution was adopted.)

Return this form with your tax deductible dues payable to the National Council of Censors.

Mail to: 

National Council of Censors
P.O. Box 8783
Omaha, Ne, 68108-0813
(402) 991-8124

Tax Exempt Status:

The National Council of Censors is a 501(c)(3) organization. We rely on funding from private individuals, foundations and corporations

Web Site: www.nationalcouncilofcensors.org
E-Mail: gdafreeman@cox.net

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