Yes, I would like to become an Associate
Member of the National Pro-Life Religious Council, Inc.
Enclosed is my fee of $25.00 for membership
____________ an individual
____________ a church
____________ a group
I would like to make a tax-deductible donation
$_______________ to help NPRC with its important work.*
Church or Group:
City, State ZIP:
*The IRS has granted 501 (c) 3 status to the NPRC, allowing
your contributions to aid in the work of NPRC to be tax deductible.
Please print and mail this form to:
National Pro-Life Religious Council
PO Box 237313
Cocoa, FL 32923