Foundation for Democratic Reforms in India (FDRI)

(A Non-profit Charitable Organization - Tax ID: 31-1602890)

PO Box 469

Wadsworth, IL 60083

Tel: 847-662-6785

E-mail: fdrimail@yahoo.com

Web site: http://www.fdri.org

I am interested in FDRI's goals and activities. I want to join as a

Friend: $ 100

Donor: $ 1,000

Patron: $ 5,000

Grand Patron: $ 10,000 or more

(Please make the check payable to FDRI)

Name :

Address :

City, State, Zip :

Phone :

E-mail (important) :

Ways I can help:

_____Coordinate a local chapter

_____Liaison with other NRI organizations

_____Research and writing

_____Fund raising and in-kind support

_____Awareness campaigns, Media contacts

_____Communications, Infrastructure

_____Other_________________________________

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