Enclosed is a check or money order for:
___ $250
___ $100
___ $50
___ $25
___ $10
___ $15-40 (sliding scale) membership
   (membership also 4 hrs/year volunteer and
   assumes you will participate in meetings)
___ Other $______

I would like to direct my donation to:
___ Peace and Justice Works
        General Fund
___ Portland Copwatch
___ Iraq Affinity Group
___ Portland SOA Watchers
___ Sarajevo Peace Centre
___ www.pjw.info (website)
___ Wherever it is most needed

Comments:

My donation is in honor of/in memory of:

First name:

Last name:

Address:

City: _________________

State: ____   Zip: _______________