ABATE of Iowa MEMBERSHIP APPLICATION
ABATE of Iowa, Inc.
1240 Washington Street
P.O. Box 70
Eldora, Iowa 50627**Phone
641-858-5001
Full Membership
Dues $20 / Year
Lifetime Membership Dues $300
Associate Membership Dues $15.00/Year
Supporting Business Dues $50/Year
Supporting Organization Dues $100/Year
It is suggested that applications be sent directly
to the office.
Amount Enclosed__________________
Please send check or money order only.
New Membership___ Renewal___ Address Change ___Have
you been a member of ABATE of Iowa in the past?____________Previous
District Number_______ Card Number________________________
Name _____________________________________________(name
is required for all members–one name only, no
couple memberships)
Address____________________________________
City ____________________ State___________
Zip _________County_________Phone (_____)__________________
Are you a registered voter? Yes ___ No ___Senate District
number ? _____House District number?____
Do you
object to having $1.00 of your dues donated to ABATE PAC? Yes ____ No____
It is illegal to deposit money in a PAC from a corporate
check. Please use personal checks.
New Member's Signature__________________________ Recruited
by: District 3 Website
Contributions
or gifts to ABATE of Iowa are not tax deductible as charitable contributions,
however they may be deductible as ordinary or necessary business
expense.Please print this page and mail it with a check to the address
above. If you have any questions, you can email us at: info@abateiowa3.org