CSRP Contact Form

Print this form, fill it out, and mail today to:
	
    CSRP
    PO Box 1246
    Berkeley CA 94701

    or fax to 415-252-7414


Check all that apply to you:

___ Give me a call, I want to help support the CSRP!

    My phone number is _____________________________

___ Add my name to the CSRP mailing list.

___ I have read the "Principles of Unity" and would like to join
    the CSRP.

___ I want to start a local chapter of the CSRP in my area.



    You can mail stuff to me at:           (please print clearly)
	
    Name ________________________________________________________

    Street Address ______________________________________________

    City __________________________ State _______ Zip ___________


Anything else?

    _____________________________________________________________

    _____________________________________________________________

    _____________________________________________________________

    _____________________________________________________________

    _____________________________________________________________

    _____________________________________________________________

    _____________________________________________________________

    _____________________________________________________________

    _____________________________________________________________