A More Perfect Union Registration
Name:______________________________________________________________________
Address:____________________________________________________________________
City:__________________________________________ State:__________ Zip:__________
Phone:__________________________________________________ Ext:_______________
E-mail:_____________________________________________________________________
*Occupation:________________________________________________________________
*Employer: _________________________________________________________________
* Required only for contributions exceeding $50 per year
AMPU 2009 Winter Session:I cannot attend the 2009 Winter Session but please accept the following contribution: $________[ ] $25 Household
[ ] $15 Individual
[ ] I will attend the February 7 session at Open Door Baptist Church
[ ] I will attend the February 29 session at Lebanon Evangelical Free Church
(Sorry, we cannot accept corporate checks!)
Make checks payable to:
Constitutional Organization
of Liberty
P.O. Box 822
Lebanon, PA 17042
717-228-7524
Pennsylvania law requires
that we report the name, address, occupation, and employer for each individual
whose contributions
aggregate in excess of $50
in a calendar year. Political contributions are not tax deductible.
No corporate checks can be received.
Federal limit per individual
is $20,000 per year.
The Constitutional Organization
Of Liberty reserves the right to reject any applicant for participation
or membership or to
terminate same for due cause
as determined by the Executive Committee with a full refund of dues for
the respective calendar year
in which termination occurs.
Paid for by Constitutional Organization Of Liberty - Monica Carpenter, Treasurer