Mail Application


| EJF Home | Back to Membership Page | Comments? |


Membership is open to all.
Help fix the problem, not the blame.

Please use your browser print function to print this short form.
Then fill out the form and mail it to the address below with your check or money order made out to the Equal Justice Foundation.
Thank you!

Dues are $25 per year.
Additional donations are always greatly appreciated.

Please indicate amount enclosed. Basic dues $25 ____ or Additional Donation including dues:
$50 ______       $75 ______     $100 ______  $500  _______  Other $_________

______________________________________________________________
First Name                     Middle                     Last Name (Please include title or suffix if applicable)

______________________________________________________________
Company Name (if applicable) 

______________________________________________________________
Street Address or P.O, Box

______________________________________________________________
City

______________________________________________________________
County                                           State                         Postal Code

___________________           ___________________         ___________________
Telephone                                     Cell phone                                  Facsimile
(Please include area code for both telephone and fax numbers.)

_______________________________      http://                                                                
Email address                                                         Home page URL (if applicable)
Most member communications are via electronic mail, so please be sure to include email address if you have one.

____________________________________________________________________
Are you a military veteran or on active duty?     If yes, branch of service     Highest rank

____________________________________________________________________
Please provide us with contact information if your company has a matching donation program.

Equal Justice Foundation
455 Bear Creek Road
Colorado Springs, Colorado 80906-5820
Telephone: (719) 520-1089
Facsimile: (509) 472-5275


The Equal Justice Foundation is a non-profit 501(c)(3) organization incorporated under the laws of the State of Colorado.