Network for Reproductive Options
Printable Response Form

Please mail to: NRO/P.O. Box 10894/Eugene, OR/97440

Name_______________________________________ Phone______________________
Address________________________________________________________________
________________________________ E-mail_________________________________

Please mark the type of information/help you would like to give NRO:

___ I am interested in becoming a NRO volunteer!
I am available approx. __0-5 hrs/mo __5-10 hrs/mo __10+ hrs/mo
I am interested in: __Education Fundraising __Translation __Board Member Other____________
Special skills or experience: ______________________________________

___ I would like to donate $__________ to NRO to help build the WIN fund and assist with operating expenses to increase abortion access throughout Oregon. (All donations are tax deductible.)

___ I am currently unable to volunteer or donate money to NRO; however, I care about abortion issues. Please keep me on your mailing list!
The best way to contact me is: __mail __e-mail __phone

___ I can think of the following people who would be interested in learning about the work NRO is doing:
Name______________ Phone___________ Address_______________________
Name______________ Phone___________ Address_______________________
Name______________ Phone___________ Address_______________________