P.O. Box 201 St. George Station, Staten Island NY 10301
pasi.eblast@gmail.com
718-989-2881
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MEMBERSHIP FORM
Yes, I am concerned about the growing proliferation of nuclear, biological, and chemical
weapons on this planet, of nuclear war, and I would like to act for peace with other Staten Islanders.
Please sign me up as a member of Peace Action of Staten Island
and keep me informed of meetings, news and events.
Name:   Address:
  City:    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 P.O. Box 201 St. George Station, Staten Island NY 10301, or bring your checkbook to a meeting.
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