2018 Membership Form
Pledge Amount and Payment
I / we commit to the following pledge for the year (January 1, 2018 - December 31, 2018) *
Please type in the ANNUAL amount of your pledge.
Your answer
I will pay my pledge (monthly or annually): *
Payment Method *
Free Spirit Community prefers to charge your checking account directly, but we will accept a variety of methods.
Household Information:
Mailing Address : Number, Street & Apt (if applicable) *
Your answer
Mailing Address City, State, Zip *
Your answer
Home Phone *
Your answer
Adult Member One *
(Last name, First Name)
Your answer
Member One's cell number
Please list Member One's cell number
Your answer
Member One's email *
Please list Member One's email address
Your answer
Member One's birthdate
(mm/dd/yyyy)
Your answer
For Two Adult Membership:
Adult Member Two
(Last name, First Name; must be completed for a 2 adult membership)
Your answer
Member Two's cell number
Please list Member Two's cell number
Your answer
Member Two's email
Please list Member Two's email address
Your answer
Member Two's birthdate
(mm/dd/yyyy)
Your answer
Children Under 18
Children under 18 are included in the membership
Names of Children
Just list your childrens names for our records
Your answer
Volunteer Commitment
Each member is asked to give ten hours per year of time to the Free Spirit Community. Please indicate below how you might be able to help.
Council or Committees *
Please indicate if you would be willing to serve on any of the following committees:
Required
Skills or Tasks
Please indicate if you have skills and/or interest in the following:
Code of Conduct
By completing this membership form, you agree our community Code of Conduct found on the website at http://freespiritcommunity.org/conduct.html. Contact us if you'd prefer a printed copy.
THANK YOU FOR BECOMING A MEMBER! If you have any questions about your contribution, please call us at 435-627-3168.
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