Freedom Clearinghouse Sign Up!

PO Box 558, Topeka, KS 66601 | Fax 785-272-7348
Email freedom@freedomclearinghouse.org

I believe in liberty!
We will build it together, from the ground up.

SIGN UP to be part of Freedom Clearinghouse, and in a few days, you'll have, via Priority Mail, the Freedom Clearinghouse Jumpstart Kit in your hands! It's a big binder full of tools with 60-plus pages of ideas on how to use them to get things going where you are.

Who else has signed up already?
Why do we charge money to sign people up as advocates?

Use the form below.

Two ways to use this form:

1. Print out this page.
Use a pen or typewriter to fill in the blanks. Mail with your check to Freedom Clearinghouse, P.O. Box 558, Topeka, KS 66601.

2. Fill out this form online, and click the "submit" button at the end.
Then mail your check to Freedom Clearinghouse, P.O. Box 558, Topeka, KS 66601. When we get your check, we'll send your Jumpstart Kit.

Sign me up to be part of our network of advocates
and send me my Jumpstart Kit - here's $45 to cover printing & mailing costs for all the material you'll be sending me. I'm mailing my $45 to

Freedom Clearinghouse, P.O. Box 558, Topeka, KS 66601.

I can't work on the front lines of this issue, but I do want to help.
I've checked off an amount below.

I'll be BOTH an advocate and a friend. I'm also donating ...

$1,000 to get liberty under construction for 2,000+ people.
$450 to get liberty under construction for 1,000 people.
$225 to get liberty under construction for 500 people.
$100 to get liberty under construction for 200 people.
$45 to get liberty under construction for 90 people.
Other $

Total amount enclosed

If you want to sign up by credit card, use our secure server. Or you may use this sheet and fill in your credit card information at the bottom of this form.

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Organization

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TDD/Relay

Fax, if any

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Select credit card type:
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Card Number:
Exp. Date (mm/yy):

Who's behind Freedom Clearinghouse? Click here to find out.

I'm checking this box to tell you my group will be behind this effort, too.

Press the "Submit" button to join Freedom Clearinghouse!

If your browser can't handle forms, or if you prefer, print out this page and mail it to

Freedom Clearinghouse
P.O. Box 558
Topeka, KS 66601

with your check for payable to Freedom Clearinghouse

or fax this form to 785/272-7348.

Freedom Clearinghouse is a project of
Free Hand Press, publisher of Mouth magazine.
Website developed by Cliffwood Organic Works.
Website hosted by DIMENET.
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