Print this page out and send it to:

LEAN
p.o. Box 66323
Baton Rouge, LA 70806


Yes, I want to be aware of the critical issues facing Louisiana. I want to make a difference. I want to be part of the LEAN team!

Name__________________________________________________

Address_________________________________________________

City__________________________State________Zip___________

Phone__________________________________________________



Suggested Annual Donation
$10
Student/Low Income

Suggested Annual Donation
$20
Individual

$______Other

Suggested Annual Donation
$50
Groups

$______Other

All donations are tax deductable.

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