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Join the Gray Panthers NYC Network. Complete the form below and print it out, Then mail it to:

Gray Panthers NYC Network

244 Madison Avenue #396

New York NY 10016

Make checks payable to "New York Gray Panthers Project Fund, Inc." • Donations to the Gray Panthers are Tax Deductable

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Dues	$30.00 Individual $50.00 Family or Sustaining $10.00 Student
Low / Fixed Income: Contribute whatever you can
Additional donation for 2011
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GRAY PANTHERS NYC