Join DES Action USA   

Yes - I want to get the answers about DES!

Please complete and print this form, and mail it along with your payment to:
Membership, DES Action USA, P.O. Box 7296, Jupiter, Florida 33468

All members receive the DES Action Voice quarterly newsletter. Those at the $100 level and above receive additional annual reports on DES Action's work and progress. As a courtesy to our members, it is our policy that we never sell or rent your names and addresses to any other organization.

Membership Categories (please select one)
Benefactor: $1,000 and above Supporter: $100
Sustainer: $500 Friend: $75
Patron: $250 Sponsor: $50
Associate: $200 Member: $40
I am enclosing my annual payment of $
      (please make check or money order out to "DES Action")
Please send me a DES Action T-Shirt for an additional $15
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I am a:

DES Daughter DES Son      
DES Granddaughter   DES Grandson      
DES Mother of a: Daughter   Son  
Other:
Name:
Street Address:
City:
State    Zip
Email:
Phone:

Thank-you for joining DES Action USA!
DES Action is a 501(c)(3) corporation so your membership gift is tax deductible!

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