PFLAG Cape Girardeau Membership Form

Thank you for becoming a member of our thriving chapter! PFLAG is an organization working to create a caring, just, and affirming world for LGBTQ+ people. We support families, educate allies, and advocate for equality through our network of supporters, members, and chapters across the country.

Your tax-deductible donation enables our chapter to fund scholarships for local graduating seniors, purchase educational materials, and support LGBTQ+ events and gives you voting privileges during board elections. PFLAG National dues of $15 are included with local membership.

Membership Levels:

-Individual ($40)

-Family ($60)

-Student (18+)/Senior/Limited Income  ($15)


PFLAG is a 501(c)3 organization.

If you would like to join, please fill out this form completely. All information remains confidential.
If you are renewing your membership, please go to renewal form.

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Email *
Name(s) (first and last): *
Pronouns
If a household membership, list other household members.
Mailing Address: *
City: *
State: *
Zip Code: *
Home Phone:
Cell Number:
Cell Number (Secondary):
Email Addresses of household members 
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