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Pomona Economic Opportunity Center-- Membership Form 2018
Celebrating 20 Years of Justice for the Immigrant Community
First Name: *
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Last Name: *
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Address:
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Apt/Unit #:
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City:
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Zip
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Birth Date
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Cell Phone: *
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Email: *
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Membership (funds will be designated for membership benefits and general operation of the center)
Any particular skills and/or interests to share with us? Interests in campaign participation, advocacy, workshops, teaching English, arts skills, music, cooking, computing etc.
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Membership benefits (check those you'd like to receive): *
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Membership responsibilities:
- Understand and always exercise your rights
- Support the vision and mission of the Pomona Economic Opportunity Center.
- Stand in solidarity with the immigrant community with your vote , your voice and your participation
By checking this box I am indicating that all the information on this form is true and accurate, to the best of my knowledge. *
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