To pay by "Check or Money Order" fill out the membership application below and mail to:

Mail-In Membership Form

Committees of Correspondence
for Democracy and Socialism
545 Eight Avenue, 14th Floor NE
New York, NY 10018

First Name: ____________________________________________

Last Name:_____________________________________________

Street Address: __________________________________________

City: _________________, State:___________, Zipcode:__________

Country: ________________________________________________

Organization: ____________________________________________

Phone: _________________________________________________

E-mail: _________________________________________________

Check the Membership Level that applies to you.

Annual Low Income/Student/Unemployed Membership ___ $18.00.

Annual Individual/Single Membership ___ $36.00.

Annual Household/2-person Membership ___ $48.00

Monthly Sustaining Membership $_________ per month
    Individual ___ ($4/month min.)   Household ___ ($5/month min.)
    Please bill me every ____ month(s).