Join C.A.G.E. (Kentucky Citizens Against Gambling Expansion)

Please print this form and mail it to:
CAGE, c/o Kentucky Council of Churches
1500 Leestown Road, Suite 108
Lexington, KY 40511
FAX it to 859-269-1240
or e-mail it to CAGE@kycouncilofchurches.org

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_____ I wish to join CAGE. I am willing for my name to be listed on CAGE literature promoting the goals of CAGE. I pledge to work against the expansion of gambling through the establishment of casinos or riverboats, by the employment of slot machines or electronic gambling devices at race tracks or other gambling-permitted venues, or by the utilization of expanded gambling and electronic devices by the Kentucky Lottery Corporation, at any venue, age-restricted or otherwise.

I am enclosing a financial contribution to support the work of CAGE:

_____ $10 _____$25 _____$50 _____$100 _____$250 $______ other
Contributions are hepful, but are not required to join.

(please print legibly)
NAME: _______________________________________________________________________

ADDRESS: ___________________________________________________________________

CITY/STATE:__________________________________ 9-Digit Zip Code_________-_________

TELEPHONE: _____-__________________ FAX: _______-____________________________

E-MAIL ADDRESS: ____________________________________________________________

ORGANIZATION or CHURCH (if appropriate) ______________________________________