Yes, I want to be a member of Shundahai Network


Name:_______________________________________________________________


Address:_________________________________________________________________


City: ________________________________State:___________Zip: __________________


Phone: (______)___________________Fax: (_________)______________________


Organization: __________________________________________________________


Web site:__________________________________________________________________


Email Address:_____________________________@______________________________

 

If you would like to be a part of Shundahai Network Action Planning:  circle one of the collectives :  Food Procurement and Kitchen,

       Media,         Outreach,          Literature Development,


 Camp Logistics,     Nonviolent  Direct Action Planning,    Trainings and Facilitation,     Peacekeeping


Membership Donation: $500, $250, $100, $75, $50, $25, $10 Other $____________


Donations to Shundahai Network are tax deductible, checks should be made out to our fiscal sponsor: Center for Energy Research, with Shundahai Network in the memo

and mailed to:

Shundahai Network PO Box 1115, Salt Lake City, UT 84110