If you would like to become a member of Communities for Equity or make a financial contribution, please complete this form and mail to Communities for Equity, P.O. Box 663, Ada, MI 49301.

____ Yes, I'd like to become a member of Communities for Equity.

Name ____________________________________________________________

Address __________________________________________________________

City, State, Zip _____________________________________________________

Phone _______________________________

E-mail _______________________

School District _____________________________________________________

_____ No, I do not wish to become a member of Communities for Equity, but I would like to make a financial contribution of $ _______.