2) Complete the name and address (complete with street, city, state, zip code)
3) Write a check (or money order) for $10.00 payable to the National WCTU. For men the payment is $5.00.
4) Send the left side of the form along with payment to:
Mrs. Lois Anderson
2504 S. Berkley Road
Kokomo, IN 46902-3005