Ukrainian Genocide Famine Foundation - USA MEMBERSHIP / DONATION FORM Yes, I'd like to become a supporting member of UGFF-USA! ___  Supporting INDIVIDUAL / FAMILY  ($25)             ___  Supporting ORGANIZATION / BUSINESS ($50) I would like to give an additional donation in support of UGFF-USA's education outreach programs: ___$25 ___$50 ___$100 ___$250 ___$500    ___$1000                                            ___ Other Amount: $___________ TOTAL AMOUNT ENCLOSED: $_____________________ Please make checks or money orders out to:  UGFF-USA mail to:   UGFF-USA Membership                  2249 West Superior Street    Chicago, IL  60612 NAME:________________________________________________________________________________ BUSINESS/ORGANIZATION:_______________________________________________________________ (if paying for a business / organization membership) STREET ADDRESS_____________________________________________________________________ CITY:__________________________________   STATE:_________  ZIP:__________________________ PHONE:_______________________________________________________________________________ E-MAIL:_______________________________________________________________________________