ABATE of Iowa MEMBERSHIP APPLICATION
ABATE of Iowa, Inc.
P.O. Box 70
Eldora, Iowa 50627
Full Membership Dues $20 / Year
Lifetime Membership Dues $300
Associate Membership Dues $15.00/Year
Supporting Business Dues $50/Year
Supporting Organization Dues $100/Year
It is suggested that applications be sent directly to the office.
Amount Enclosed__________________ Please send check or money order.
New Membership______ Renewal__________ Address Change ____________
Have you been a member of ABATE of Iowa in the past?___________________
New Full or Life Members Only would you like to receive a A.B.A.T.E.
patch? yes__ no__
Please Print Legibly
District Number_________ Card Number___________________
City ____________________ State___________ Zip _________
County _______________________ Phone (_____)___________
Are you a registered voter? Yes _____ No ______
What is your Senate District number ? __ What is your House District
Do you object to having $1.00 of your dues donated to ABATE PAC? Yes
It is illegal to deposit money in a PAC from a corporate check. Please
use personal checks.
New Member's Signature________________ Recruited by____________ Card
Contributions or gifts to ABATE of Iowa are not tax deductible as
however they may be deductible as ordinary or necessary business
PLEASE PRINT THIS FORM, AND MAIL IT WITH A CHECK TO THE ADDRESS ABOVE.
IF YOU HAVE ANY QUESTIONS, YOU CAN E-MAIL US AT Gillman2@yahoo.com