| ⟩ Abused Women & Children |
⟩ Commodities |
⟩ Information Services |
⟩ Shelter / Housing |
| ⟩ Advocacy |
⟩ Communication |
⟩ Low Income / Poor |
⟩ Non-English Speakers |
| ⟩ Alcohol/Drug/Chemical Dep. |
⟩ Homeless Services |
⟩ Mental Health |
|
| ⟩ Animal Services |
⟩ Health/Medical |
⟩ People with Disabilities |
|
| ⟩ Children & Youth |
⟩ Immigrants/Refugees |
⟩ Seniors/elderly |
|
Suggested Dues (determined by annual budget)*:
| ⟩ ($0-$349,000) | $100 |
| ⟩ ($350,000-$699,000) | $200 |
| ⟩ ($700,000 and over) | $300 |
*If dues are a significant obstacle to becoming a member of CARD, please give us a call.
| Agency Name:__________________________________ | |
Amount of Dues: | $____________ |
Additional donation to CARD: | $____________ |
TOTAL AMOUNT OF CHECK ENCLOSED: | $____________ |
phone: (510) 451-3140 •
e-mail: info@firstvictims.org •
web: www.FirstVictims.org
• fax: (510) 451-3144
