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I would like to: Become a new member.   Update my membership information. Prefix (Mr/Mrs/Ms): First Name: M.I. Last Name: Suffix (Jr.,Esq.):   Institution   Title   Street     City State   Zip / Postal          Country   Phone  E-Mail I would like to receive e-mail alerts from the following regions (please select a maximum of THREE; each selection will generate approximately five to 10 e-mails per month). Click on the regions below to preview the CPJ home page for each one, and which countries comprise that region. Africa (sub-Saharan) Americas Asia Europe and Central Asia North Africa/Middle East Payment Information Enclosed, please find my check in the amount of US$, or charge my credit card US$ as tax-deductible payment for my membership in CPJ. Visa   MasterCard   American Express   Check Card Number Expiration Date Name On Card _________________________________________________________________________ Signature Please make check or money order payable to Committee to Protect Journalists. Funds must be paid in US$ and drawn on a U.S. bank or U.S. resident branch. This form can also be used to update membership information. Mail this form to: Director of Development Committee To Protect Journalists 330 Seventh Avenue, 12th Floor New York, NY 10001, USA Phone:(212) 465-1004 ext.109 Fax: (212) 465-9568 E-Mail: development@cpj.org