Amnesty International: Lethbridge, Alberta, Canada
Membership Donation to Amnesty International A97
(Download form for Microsoft Word: Membership.doc (24kb))



Amnesty International Lethbridge Action Circle needs your help to protect and promote human rights across the world.
Please print clearly

Name:

Address:

City:

Postal Code:

Phone number:

Email address:


I wish to volunteer at the next event
I wish to be added to the mailing list and receive updates on news & events
I wish to obtain a membership (Please include $35)
I would like to make a donation to Amnesty International Lethbridge Action Circle to show my support to the organization and to human rights.
                         $10             $50
                         $20             $


Please make cheques payable to AMNESTY INTERNATIONAL LETHBRIDGE ACTION CIRCLE.
Please do not mail cash.