R-Kids of Minnesota
Membership Form (print this form using your browser's print function)
Please mail your membership form with payment to:
R-Kids
P.O. Box 24658
Edina MN 55424-0658
___ Membership for one year (not tax deductible) ............................................$ 25.00
___ Additional Contribution (not tax deductible) ..............................................$______________
Total (check made out to "R-Kids") ................................................$_____________
___ Contribution to R-Kids Charitable Fund* ....................................................$______________
(Tax deductible, Please make separate check out to
"R- Kids Charitable Fund")
Name _______________________________________________________________
Address ______________________________________________________________
City, State, Zip _________________________________________________________
Phone Number _________________________________________________________
Email Address _________________________________________________________
Minnesota Legislative District
or your State Representative's name _________________________________________
*R-Kids Charitable fund is a division of R-Kids of Minnesota which qualifies as tax exempt
under section 501(c)(3) of the IRS code. Contributions to R-Kids Charitable Fund are NOT
used for lobbying. They are used for educational programs, research projects, and to establish
a legal defense fund. They are tax deductible contributions.