| www.PatriotsForChange.org 134 Bell Street Chagrin Falls, Ohio 44022 (440) 893-9308 Office Hours: Saturday, 10:00 am - Noon Patriots4Change@gmail.com |
NAME: _________________________________________
ADDRESS: _________________________________________ City: ____________________________ Zip: ________ E-MAIL ADDRESS: ___________________________________ PHONE: _________________________________________ Please send your check and completed form to: Patriots For Change 139 Bell St. #301 Chagrin Falls, OH 44022 |
$ 250
$ 100
$ 50
$ 40
$ 25
$ 10
$ 100
$ 50
$ 40
$ 25
$ 10
Benefactor
Founding
Sustaining
Family Membership
Patriot
Student
Founding
Sustaining
Family Membership
Patriot
Student
| Membership PLEASE JOIN OUR GROUP! |
 |
| |
 |
| |
 |
| |
 |
| |
 |
| |
 |
| |
 |
| |
 |
| |
 |