Womans Christian Temperance Union of So. Calif.
551 So Kingsley Drive
Los Angeles, CA 90042
Telephone: 213 383-5702

I support the goals of the WCTU. Please find enclosed:

1. My check to the WCTU for $10.00 (annual dues).
2. My signed Pledge of abstinence.

WCTU PLEDGE

"I hereby solemnly promise, God helping me, to abstain from all distilled, fermented, and malt liquors, including beer, wine, and hard cider, and to employ all proper means to discourage the use of and traffic in the same."

Date: ____________

Name: _____________________________________________

Street Address: ______________________________________

City, State, Zip ______________________________________

Telephone: __________________

Email: _____________________ @ _____________________

Please enroll me as a member of the WCTU and send a quarterly White Ribbon (state paper).

(Copy & Paste (into a word-processing program);
Print, Sign, Write Check/Money Order & Mail).