| Name: ________________________________________________________________ |
| Address: ______________________________________________________________ |
| City: _________________________________________________________________ |
| State: ________________________________________________________________ |
| ZIP Code: ____________________________________________________________ |
| Phone: _________________________________________________________ |
| Fax: ________________________________________________________________ |
| Email: _______________________________________________________________ |
| ______ I'd like more information on WLC and its programs. |
Please return form to:
The Women's Law Center of Maryland, Inc.
305 West Chesapeake Ave., Suite 201
Towson, MD 21204
or fax to: 410-321-0462
or send an email containing the preceeding information to: legislative@wlcmd.org |
