I Want to be an NMASS Member!

NMASS members are working people, including injured workers, students, mothers working in the home, retirees, unemployed persons, and people from all communities and walks of life.Together we're:
  • Fighting long hours and other sweatshops conditions where we work & live.
  • Holding government & business accountable for working people's health.
  • Taking back control over our communities and lives.
  • Building a new labor movement that not only fights for improvements, but fights for long-term systemic change.

Yes, I want to join! Signature: ___________________ Date: _______
1. My personal information

Name:		_______________________________________________
Address:___________________________________ Apt. _______
City ___________________________________________
State ____________________________ Zip __________
Phone:_______________________________________________
Email:_______________________________________________
2.

Enclosed is my annual dues of (check one of the following):*

___ $10 (student or hardship rate)
___ $25 (general dues rate)

* Membership is for one year from the date dues are received.

I would also like to make an additional donation of:

_____ $25
_____ $50
_____ $100
_____ Other

Make all checks out to "NMASS" and earmark them dues or donations. Please include separate checks for dues and donations.
3. Mail your completed membership form and your annual dues (and donation if you wish) to the mailing address below.

mail: NMASS P.O. Box 130293, New York, NY 10013-0995
office: 30 Third Avenue, Brooklyn (btwn. Atlantic & State) | tel: 718-625-9091
fax: 718-625-8950 | email: nmass@yahoo.com | ©2001 NMASS All RIghts Reserved