MEMBERSHIP FORM Yes, I am concerned about nuclear weapons proliferation and the threat of nuclear war, and I would like to do my part here on Staten Island. Please sign me up as a member of Peace Action of Staten Island and keep me informed of meetings, news and events.

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  City: 
Staten Island Other  NY  Zip   Phone:   Email:
Use the box below to tell us more about yourself. What neighborhood are you from? Are you a
member of other organizations? What are your skills and interests? Ideas? Comments? etc:

We will soon be accepting donations online. Until then, please make checks out to Peace Action of Staten Island and mail to 110 Hamilton Ave, Staten Island NY 10301, or bring your checkbook to a meeting.

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