make a pledge

I would like to become an active member of Mothers In Action and agree to pay membership dues of $25.00 per year. I hereby make the following pledge: I pledge to support the goals, objectives, and activities of Mothers In Action.

I pledge to pray
I pledge to vote
I pledge to take care of my family
I pledge to take care of my community
I pledge to“Raise Sand” when it is
Necessary, in support of
My family and my community

*Fill out all required information:

Name: *
E-Mail Address *
Street Address: *
City: *
State:	ALAKAZCACOCTDCDEFLGAHIIAIDILINKSKYLAMAMDMEMIMNMOMSMTNCNDNHNJNMNYNVOHORPARISCTNTXUTVAVTWAWIWVWY
Zip: *
Daytime Phone: *
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