PFLAG Cambridge Membership Registration

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Please join PFLAG Cambridge as an official chapter member! Annual membership (beginning in October of every calendar year) is $40 per household. Please read this form carefully (especially the dues part!)

Email *

First Name *

Last Name *

Phone number *

Address *

City, State, Zip *

Pay Annual Membership Fee by PayPal *

You may pay by PayPal or by Check/Cash (see below). With PayPal, PFLAG Cambridge will be charged a fee - please consider helping with this expense. We are a small and low-budget organization!

Pay Annual Fee with PayPal - $40

PayPal Processing Fee (optional) - $2

Will Pay by Check or Cash at Meeting or by Mail (see below)

Donation of additional $5

Donation of additional $10

Donation of additional $20

Donation of additional $50

Donation of additional $100

Required

Payment Options without PayPal *

Please make checks payable to "PFLAG Cambridge"

Pay by Cash or Check at PFLAG Cambridge meetings (3rd Tuesday of month at Beloved Therapy)

Pay by Check by mail (to: Beloved Therapy, 414 W Main St; Cambridge, WI 53523)

Will pay with PayPal (see above)

A copy of your responses will be emailed to the address you provided.

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