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Give by Phone, Fax, or Mail

GIVE BY PHONE

Call us at 1-800-666-8276 ext. 8000 between 8 am and 5 pm (Eastern time). We can take your donation with a VISA, MasterCard, American Express, or Discover. At other times, you may leave your name and address and we'll send you membership information.

GIVE BY MAIL/FAX

Simply print and fill out the form below and mail to:

Union of Concerned Scientists, Two Brattle Square, Cambridge, MA 02138, Attn: Membership

Or fax to: 617-864-9405

PRINTABLE MEMBERSHIP / RENEWAL FORM

Amount
___ $25 ___ $50 ___ $100 ___ $250 ___ $1000 $_______ Other
I'm already a member and want to renew: ___
Name
Title	________________________________________________
First	________________________________________________
Middle	________________________________________________
Last	________________________________________________
Address
Email	________________________________________________
Street	________________________________________________
Apt #	________________________________________________
City	________________________________________________
State	________________________________________________
Zip Code	________________________________________________
Country	________________________________________________
Phone	________________________________________________
Payment
Method	___ Visa ___ Mastercard ___ Amex ___ Discover ___ Check enclosed
Card #	________________________________________________
Expiration	________________________________________________
Your gift is tax deductible.

Give by Phone, Fax, or Mail

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