Please print this form out on your printer.

IDS-MI is requesting tax-deductible contributions to finance and support
conferences on development in Michigan and grassroots social work
programs in India.  Please mail this form and donations payable to IDS-MI:

           India Development Service - Michigan Chapter
           c/o Michigan Student Assembly
           3909 Michigan Union
           Ann Arbor, Michigan  48109-1349

Name:		________________________________________
Address:	________________________________________
		________________________________________
		________________________________________
Phone/Fax:	________________________________________
E-mail/WWW:	________________________________________


MEMBERSHIP:				       Enclosed is:

I would like to:			       $250 for life membership

become a new member			    $25 for annual membership

renew my membership			    $10 for student membership


INVOLVEMENT:                                   CONTRIBUTIONS:

I want to be involved in IDS-MI and            for the IDS-MI project

help organise talks/conferences             for IDS-MI activities

help organise fundraisers                   $500  $250  $100

be an IDS-MI Board Member                   $50   $25   $10

_________________ (other)                   $_____ (other)


TAX ID #: 237355796

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India Development Service (IDS) is a non-profit, non-sectarian, non-political volunteer organization dedicated to supporting grassroots economic and social
development programs in India and disseminating development information.
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               Thank you for your generous support