How YOU Can Help VENEZUELA

( ) Receive e-mail updates and Action Alerts

( ) Write an article, op-ed, or letter to the editor

( ) Write a letter to my U.S. Representative or Senator

( ) Organize a presentation or film screening in my community

( ) Become a member of the National Venezuela Solidarity Network

($25.00 donation is tax deductible, make a $50-100 donation and receive video documentary about the April 2002 coup)

( ) Join a delegation going to Venezuela

Name: ____________________________________________________

Organization: ______________________________________________

Address: _________________________________________________

_________________________________________________

Email: ____________________________________________________

Telephone: ________________________________________________

For tax-deductible donations, make checks payable to Venezuela Solidarity Committee

Return this form to: National Venezuela Solidarity Network

446B Myrtle Avenue, Ste 141

Brooklyn, New York, 11205