Simply fill in and print this form and mail to the address below.
First Name
Last Name
Title
Company
Mailing Address
City
State
Zip
Daytime Phone
Evening Phone
Cell Phone
E-Mail Address
Metro Council District
My annual membership fee of $50 is
enclosed. WIN members are encouraged
to contribute at least $100 to WIN endorsed
candidates per election cycle.
I am enclosing a contribution for WIN’s
Political Action Committee.
Mail check payable to:
Women in Numbers
P.O. Box 330668
Nashville, TN 37203
(615) 662-4946
WIN is a Political Action Committee filed with the Registry of Election Finance. WIN is classified as a 527 organization with the Internal Revenue Service.
