PSR Sacramento

Physicians for Social Responsibility
Sacramento Chapter

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Join/Donate/Annual Dinner Payment

YES! I want to participate in PSR's work
to protect human health and the environment.
Dr. Mr. Mrs. Ms. Miss
First Name:
Last Name:

Home Phone:
( ) -
Work Phone:
( ) -
Dinner Guests Names and Menu Choices (chicken or vegeterian):
  Sponsoring Member (Physicians & other health professionals w/ doctoral degrees)
  Supporting Member (Residents, Interns, Nurses, other health professionals, concerned citizens)
  Retired Member
  Student Member
General Donation Amount
Directed Scholarship Fund Donation Amount
Payment for October 24, 2014 Joint UNA-PSR/Sacramento Annual Dinner:
  Number of General Reservations ($40 per person)
  Number of Student/Resident Reservations ($20 per student or resident)


PSR/Sacramento is a 501(c)(3) non-profit organization. Membership payments and donations are tax-deductible. Payments for the annual dinner are not tax-deductible.

I will submit payment:


Nuclear Weapons and Militarism | Environmental Work | Gun Violence Prevention | Universal Health Care

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PSR is the U.S. affiliate of International Physicians for the
Prevention of Nuclear War, winner of the 1985 Nobel Peace Prize

The Sacramento/Davis Area Chapter of Physicians for Social Responsibility
10 Dumfries Court
Sacramento, CA 95831