Roc NORML New Member Form
After you have made a donation to become a new member, fill out this form so we have your information for our records. Then make sure you come to one of our next events and we'll have your membership package for you to pick up, in person. Please be aware that due to the current size and bandwidth of our organization, we do not currently mail out membership packages; instead we ask that you come to one of our upcoming events and pickup your membership package in person. If this is a problem, please email rocnorml@rocnorml.org to see if further arrangements can be made.
Name *
Your answer
Email Address *
Your answer
Phone Number *
Your answer
Membership Level (choose one; go to www.rocnorml.org/join for more information about membership levels) *
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service