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CLC
Citizens Liberty Coalition

To participate costs nothing. A family or single one-year membership fee is $25.00. If you wish to remain anonymous place a code name where it states name and e-mail address for correspondence.

I wish to be a participant I wish to be a member of CLC

Full Name

Family member names-                

Address, including state, city, and zip code:

1. I or my family can allot the following amount of time per day to CLC

2. The days I or my family are available to donate time are
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

3. At what times are you available for each day?

If you are available for 2 hours per day or more please fill in the following:

   I would like to become more involved in CLC goals. yes    no
   I would like to become an organizer.                         yes    no
   I would like to become a specialist in CLC                yes    no
   I would like to become a supervisor in CLC              yes    no
   How much time per day could you allot towards CLC?
   note- CLC is a division of GHI/MRI, a non profit organization, and the positions of an outside
   organizer, specialist, or supervisor would be voluntary. However over time may become paid
   positions with CLC. CLC will contact you

If you are employed by the Federal, state, or local government
please fill out the following:

Which government do you work for
If you work for the Federal Government what agency?
If you work for the State Government what agency?    
If you work for the County Government what agency? 
If you work for the City Government what agency?      

Please decribe your work duties in detail:

If you are NOT employed by a government agency...

4. please describe in detail who you work for and the detail of your work.

 

Become a Member

To Join CLC

send check or money order for $25 PAYABLE to: GHI/MRI
C/O 35205, S.R. 54,
Zephyrhills, FL 33541

To Join CLC via internet fill out the following

Name

Address:

(UNAVAILABLE)Credit Card Number

please specify- UNAVAILABLE UNAVAILABLE