I support the efforts of Rob Sherman Advocacy to defend our constitutional rights by attaining a wall of separation between state and church, including the effort to secularize the holiday display at the Niles, Illinois, village hall.

Amount of contribution:   $___________________________________

Name:                _____________________________________________

Address:             _____________________________________________

E-mail address:   _____________________________________________

Phone:                _____________________________________________

Would you like to be listed on our web site as a Supporter?                Yes      No

If yes, would you like to your name linked to your e-mail address?      Yes      No

Would you like to be contacted about being an activist in your community?   Yes   No

Would you like to be contacted in the future with a request for an additional contribution?

Yes, in one year.      Yes, in three months.      Yes, in one month.

No. Leave me alone. I'll contact you if I want to make another contribution.

Thank you, from all of us at Rob Sherman Advocacy, for your financial support.