WAND STAND Pledge Member

I am a new member.
This is a renewal.

Dues* Standard WAND Dues ($35) : Other: $ * Suggested dues for WAND are $35, but no one is excluded. If you can afford to give more, you are welcome to send more. If not, please give what you can.

Note: WAND dues are not tax-deductible. However, donations to WAND Education Fund are tax-deductible. Click here to make a donation to WAND Education Fund.

I want to make a NON-tax deductible donation to WAND: $ .
I want to make a TAX DEDUCTIBLE donation to WAND Education Fund.

* = required fields

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*Zip code:
Home phone: Include area code
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E-mail:

If you are mailing in your payment or want us to bill you, print out two copies of this form -- one to keep for your records and the other to mail to WAND.

My check payable to WAND is enclosed.
I want WAND to bill my credit card, but do not want to pay online.

Card type (check one): ____Visa ____Mastercard

Card number: _______________________________________

Expiration Date: _____________________________________

Signature: __________________________________________

When you've filled out the form, mail it to WAND at this address:

WAND | 691 Massachusetts Avenue | Arlington, MA 02476

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