William Jennings Bryan Recognition Project
Enrollment Form
(There is no financial obligation associated with your participation.)
Please list me/my
organization as a supporter
of the William Jennings Bryan Recognition Project
to memorialize his contributions and to strengthen
the values that Bryan espoused in his public
service to the Nation and the world.
Organization: | ____________________________________________________________ |
Your Name: | ____________________________________________________________ |
Title: | ____________________________________________________________ |
Address: | ____________________________________________________________ |
City/State/ZIP: | ____________________________________________________________ |
____________________________________________________________ | |
Telephone: |
____________________________________________________________ |
Fax: | ____________________________________________________________ |
E-mail: | ____________________________________________________________ |
Signature: | ____________________________________________________________ |
You will receive invitations to
memorial events,
planning meetings and related activities.
Please mail your completed form to:
The Agribusiness Council - WJBRP
P.O. Box 5565
Washington, DC 20016
"Statesman, yet friend to
truth, of soul sincere,
in action faithful, and in honor clear"