Membership Application
Name: _____________________________________________________________________
Address: ___________________________________________________________________
City/State/ZIP: ______________________________________________________________
E-mail: _____________________________________________________________________
[ ] 2009 Individual Membership - $15
[ ] 2009 Household Membership - $25
[ ] I cannot participate in COOL at this time but have enclosed a contribution:
[ ] $100 [ ] $75 [ ] $50 [ ] $25 [ ] OtherPlease add my name to the mailing list for more information on:
[ ] A More Perfect Union (half day course)
[ ] Institute On The Constitution (mulit-week sessions)
To be completed for contributions in excess of $250:
Your occupation: _________________________________________________________________
Employer: ______________________________________________________________________
Constitutional Organization
Of Liberty (COOL) is a registered Political Action Committee (PAC)
with the Commonwealth of
Pennsylvania; contributions are not tax deductible. Maximum contributions
of $25,000 per person, per
year are allowed. Corporate contributions are prohibited.
Sorry, we cannot accept
corporate checks!
Make checks payable to:
Constitutional Organization
of Liberty
P.O. Box 822
Lebanon, PA 17042
717-228-7524
The Constitutional Organization
Of Liberty reserves the right to reject any applicant for membership or
to terminate membership
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