Orange County NC Website
~a <br />' Foundation Please clieck the appropriate box(es): <br />,. <br />( ) Yes, I d like to attend Message Madness:. . <br />• I am enclosing:. ~ . <br />Messag¢ Madness Registration ~ ( ) $24 because I'm a member. <br />( ) $30 because I'm not a member. <br />Name: ( ) $50 because I'd like to become a member. <br />( ) an additional $_ to support Common Sense. <br />Organization: <br />Street/PO Box: (. } I would like a vegetarian lunch <br />City/State/Zip: ( ) I would like to displaymaterials about my group. . <br />Work Phone: <br />Home Phone: Please mike da~o(zs payzble to Co»vrnnSen>e anel mzil w P. Q Bmc <br />Fax: 10808, Raleigh, I~iC 27605. Far more infornrxtiory aril Corcoran Sense at <br />E_ mail : (919) 821.9270 or e~ mxil sare@ m»vrartsense org <br />