National Catholic Rural Life Conference 4625 Beaver Avenue - Des Moines, Iowa 50310 Phone: 515.270.2634 - Fax: 515.270.9447 E-mail NCRLC at: info@ncrlc.com Website URL: http://www.ncrlc.com Membership Information Individual Membership: $50 <-- circle which one you pick Receive Catholic Rural Life magazine twice a year. Receive the Catholic Rural Life newsletter 6 times a year. Receive first notice of new NCRLC resources, events and activities. Parish Membership: $100 <-- circle which one you pick Receive Catholic Rural Life magazine twice a year. Receive 5 copies of each Catholic Rural Life newsletter. Receive first notice of new NCRLC activities and resources. Organizational Membership: $250 <-- circle which one you pick Receive Catholic Rural Life magazine twice a year. Receive 5 copies of each Catholic Rural Life newsletter. Receive first notice of new NCRLC activities and resources. Name: ____________________________________________________ Organization: ______________________________________________ Address: __________________________________________________ City: ______________________________________________________ State: _____________________________________________________ Zip: _______________________________________________________ Diocese ( if applicable ): ____________________________________ Phone: ____________________________________________________ Fax: _______________________________________________________ E-mail Address: _____________________________________________ Please print out this document and mail it (with your enclosed contribution) to: The National Catholic Rural Life Conference 4625 Beaver Avenue Des Moines, Iowa 50310