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Membership Application
Annual Member Donation
$25.00 for individuals
$10.00 for students, retiree's and low-income individuals
First Name
Last Name
Birthday
Phone
Email
Address
Company
Title
My interest in being involved wit Latino and Latin Roundtable is
To be informed about community issues
To take action on community issues
To financially support the work I believe in
To meet other activists and organizations
I am interest in beng a part of
Immigrants Rights Committee
Community Development Committee
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