Membership / Donation Form
A membership in PFLAG helps us extend a helping hand to families who have gay members; provides educational material for families and the public; brings interesting and timely articles about gay issues; and offers a family voice that stands for equality and justice for all human beings.
You can join at any time of the year. The current membership year extends from October 1, 2017 to September 30, 2018. Local membership includes the local PFLAG newsletter and you can even opt to receive it via email.
Name: ____________________________________________________________
Address: ___________________________________________________________
City: ______________________________________________________________
State: _______________ Zip Code: _______________________________
Home Phone:______________________Work Phone:______________________
E-mail:_______________________________________________________________
____ Regular Membership $30.00
____ Supporting Member-Silver $40.00
____ Supporting Member-Gold $60.00
____ Supporting Member-Platinum $100.00
Amount Enclosed. . . . . . ._______
Would you like to get our newsletter by email (please circle yes or no)? YES No
Please send this form with your check.
Make checks payable to: Colorado Springs PFLAG
and mail to: P.O. Box 49131 Colorado Springs, CO 80949
All information will remain confidential. Membership and contributions are tax deductible. PFLAG is a 501(C) 3 nonprofit organization.
A membership in PFLAG helps us extend a helping hand to families who have gay members; provides educational material for families and the public; brings interesting and timely articles about gay issues; and offers a family voice that stands for equality and justice for all human beings.
You can join at any time of the year. The current membership year extends from October 1, 2017 to September 30, 2018. Local membership includes the local PFLAG newsletter and you can even opt to receive it via email.
Name: ____________________________________________________________
Address: ___________________________________________________________
City: ______________________________________________________________
State: _______________ Zip Code: _______________________________
Home Phone:______________________Work Phone:______________________
E-mail:_______________________________________________________________
____ Regular Membership $30.00
____ Supporting Member-Silver $40.00
____ Supporting Member-Gold $60.00
____ Supporting Member-Platinum $100.00
Amount Enclosed. . . . . . ._______
Would you like to get our newsletter by email (please circle yes or no)? YES No
Please send this form with your check.
Make checks payable to: Colorado Springs PFLAG
and mail to: P.O. Box 49131 Colorado Springs, CO 80949
All information will remain confidential. Membership and contributions are tax deductible. PFLAG is a 501(C) 3 nonprofit organization.