Enrollment/Contribution Form (THE PUNJAB CRISIS AND HUMAN RIGHTS)

Telephone (312)- 363-8942

Citizens for Human Rights and Civil Liberties

P.O. Box 377588,

Chicago, Illinois 60637

Enrollment/Contribution Form

I wish to become a member of CHURCIL for which I enclose $ 25 yearly fee Please send me your future publications at the address given below.

OR

I wish to contribute $ 100,$ 250$…….. Towards the work being undertaken by CHURCIL. Please send me your future publications at the address given below

                                                                                                            Signed …………………

Name  …………………

Address ………………

Telephone.

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