fold here
PLACE
STAMP
HERE
Mr. Hal Shurtleff
The John Birch Society
12 March Avenue
West Roxbury, MA 02132-2604
The John Birch Society is a nationwide patriotic organization committed to preserving national
Independence and personal freedom. If you answered YES to the last question and would like
to know more about our organization and how you can help in our important work, please: fill
out the bottom portion of this sheet, fold it as indicated, and return it to the address given; call
(857) 498-1309; or email shurtleffhal@aol.com. There is no obligation of any kind. Thank you.
In case you were wondering, most members of the Society answer the questions as follows:
1, 3, 5, 7, 9, 11 - YES
2, 4, 6, 8, 10 - NO
Name ________________________________________________________________
Address _____________________________________________________________
City _______________________________________ State ______ Zip___________
Phone Home _____________ (Cell) _________________Office__________________
E-mail ________________________________________________________________