Pride Center Constituent Form

Thank you for becoming a member of The Pride Center of Western New York! Please fill out as much of this form as possible. The information you share will help us to better understand the areas and the people we are reaching. Your personal information will not be shared.
You will not be contacted in any way, unless prior permission is given.
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    BUSINESS CONTACT INFORMATION

    Please note: The Pride Center WILL NOT contact your business or organization without prior consent, regardless of whether or not you share that information with us.
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    DEMOGRAPHIC INFORMATION

    The following set of questions, while optional, will help us better understand the populations we're reaching. This information is for reporting purposes only and will not be shared.
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    AFFILIATION WITH PRIDE CENTER

    Please tell how you are connected to us and /or how you would like to be connected to us.
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    STAY IN TOUCH!

    Depending on your relationship with The Pride Center, you may want us to contact you. Additionally, it would be helpful to have a way of contacting you in order make sure you record stays up to date.
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