RTLCNM Membership Application

I understand that the Right To Life Committee of New Mexico (RTLCNM) is a non-sectarian, non-profit organization dedicated to the right to life of all innocent human beings from fertilization to natural death; that this organization takes a stand only on those issues that are directly related to abortion, infanticide and euthanasia.

I support the goals of RTLCNM, including a Human Life Amendment to the U.S. Constitution, and hereby make application for membership (renewal) as follows:

Individual - $20.00
Corporate - $40.00 for business organizations
Family - $30.00
NRL News Subscription ($5.00 with paid membership)
Name:
Address:
City/Zip:

I wish to:
Register to vote
Re-register

I am a registered:
Republican
Democrat
Other

Signature (required):____________________________________

Mail completed and signed form with dues to:
Right to Life Committee of New Mexico
2413 Wyoming Blvd NE
Albuquerque, NM 87112-1164

Call 505-881-4563 if you have questions.