JOIN or CONTRIBUTE to

CITIZENS for RESPONSIBLE GOVERNMENT

Print this form and mail to: Citizens for Responsible Government, 300 Lincoln St., Fairhope AL 36532, or bring it to a meeting.

Yes, I support the purpose and goals of Citizens for Responsible Government and wish to join. Enclosed is my contribution for the following category of membership or support:

__ Individual ($10 or more)

__ Family ($16 or more)

__ Student & Low Income ($5 recommended)

__ Supporting ($50 or more)

__ Sustaining ($200 or more)

__ Don’t wish to join, but here is a contribution.

Amount enclosed: $ ____________________

Make checks payable to “Citizens for Responsible Government” or “CFRG”.

I am interested in the following issues:

___ State Tax Reform & Budget Priorities

___ Other State Issues

___ County Issues

___ Local Affairs

___ Public Education Issues

___ State Constitutional Reform

___ Smart Growth

___ Environmental Issues

___ Other: _________________________________________________________________

Name:__________________________________________

Address:________________________________________

City:_________________________________

State:______________ Zip:______________

To contact us:

Citizens for Responsible
Government

300 Lincoln Street

Fairhope, Alabama 36532

251-990-8662

govers@bellsouth.net

Citizens for Responsible
Government was formed in Fairhope, AL in Dec. 2002.
We meet the first Wednesday
of each month (except July)
at the Fairhope Unitarian Fellowship, 1150 Fairhope Ave., Fairhope, AL, across from the Baldwin County Satellite Court House.

Gary Gover, President

Bill Brooke, Secretary