Labor Day 2003 Sign-Up Form
Central New York Labor-Religion Coalition

Name ________________________________________________________

Address _______________________________________________________

Day Phone __________________ Evening Phone _________________

Fax ________________________ E-mail ________________________

 I will contact my group to have a speaker this Fall:

Congregation/ Community Group_____________________________________________

__________________________
Suggest possible date to be confirmed

 I will contact my group to have a Labor-Religion Coalition workshop:

Congregation/Community Group ______________________________________________

___ Too Many Guns and Not Enough Butter

___ Border Witness

__________________________
Suggest possible date to be confirmed

 I will participate in

_____ The letter campaign on the minimum wage

_____ The immigrant worker freedom rides - please keep me informed.

 Enclosed is my donation to support the outreach of the CNY Labor-Religion Coalition.
____ $100. _____ $25.

____ $50. _____ Other
Please print this form and mail it to Central New York Labor-Religion Coalition, 4983 Brittonfield Parkway, P.O. Box 247, East Syracuse, NY 13057 or fax to 315/ 431-4411. THANK YOU.