RTL Committee of New Mexico

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:

ڤ Individual -- $20.00

ڤ Corporate -- $40.00 - for business organizations

ڤ Family -- $30.00

ڤ NRL News Subscription ($5.00 with paid membership)

Name______________________________

Address____________________________

City/Zip____________________________

Email______________________________

Wish to: (check one)

ڤ Register to vote

ڤ Re-register

ڤ am a registered: (check one)

ڤ Republican

ڤ Democrat

ڤ Other

___________________________________

Signature Required

Mail to:

Right To Life Committee of New Mexico

2800 San Mateo NE, Suite 107

Albuquerque, NM 87110-3166

Call 505-881-4563 if you have questions.