Request edit access
PFLAG CdA/Kootenai Membership, Volunteer, and Email Request Form
Thank you for considering becoming a member of PFLAG CdA/Kootenai! Your membership dues help us to accomplish our advocacy and outreach goals. As a member, you are eligible to vote at chapter meetings if you want to make an even greater impact on our efforts to support your LGBTQIA+ loved ones and neighbors. Plus, as a member, you can take advantage of online webinars and discussions - PFLAG Academy Online and Something to Talk About Live!

Every day, PFLAG CdA/Kootenai offers support, advocacy, and hope to members of the LGBTQ+ community, their families, friends, and all allies. Our work is possible because of you. The generous contributions of our members and donors support our website and our tabling/outreach/advocacy efforts. We are an all-volunteer organization, so every penny of your donation is vital and goes directly to our work.  

Find us on the web here: https://cda-kootenaicounty.pflag.org

Membership Information and participation in chapter activities is kept confidential
Sign in to Google to save your progress. Learn more
Name (First & Last)
 *
Pronouns
Email Address *
Mailing Address
Phone Number
Which membership level are you interested in? *
If joining as a member, do you have additional members in your household wanting to join as well?  *
Additional Family Member Name, Pronouns, and Email
Additional Family Member Name, Pronouns, and Email
Additional Family Member Name, Pronouns, and Email
Additional Family Member Name, Pronouns, and Email
Additional Family Member Name, Pronouns, and Email
If you have additional family members to add please reflect remaining Names, Pronouns, and Email here
Do you identify as (please check all that apply)
Are you interested in volunteering with PFLAG CdA/Kootenai
Clear selection
If interested in volunteering, which of the following categories are you interested in? (check all that apply)
Are you interested in learning more about open board positions within the chapter? 
Clear selection
If joining as a member please make payment at this link: https://www.zeffy.com/en-US/ticketing/99c39a24-c5ec-4399-a8e2-75c39cc0f638

If you would like to make a donation to our mission, payments can be made at this zeffy link: https://www.zeffy.com/en-US/donation-form/e43b4ce9-dc33-404e-926a-e2465b199cb9  

P.S. We LOVE recurring payments of ANY amount if that is something you are able to do. 
Thank You!
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms