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.
I will pay my pledge (monthly or annually):
monthly, with the first payment due on the 1st of January (or of the current month if joining during the year)
annual payment (prorated only for the remainder of the current year)
Free Spirit Community prefers to charge your checking account directly, but we will accept a variety of methods.
MONTHLY PAYMENTS (from your checking account or credit card) Please call us at 435-627-3168
ONE Annual Payment online (Please click the DONATE button on the Free Spirit Community Membership page)
ONE Annual payment by check (please mail to Free Spirit Community)
Cash (Please see one of the Spiritual Leaders)
Mailing Address : Number, Street & Apt (if applicable)
Mailing Address City, State, Zip
Adult Member One
(Last name, First Name)
Member One's cell number
Please list Member One's cell number
Member One's email
Please list Member One's email address
Member One's birthdate
For Two Adult Membership:
Adult Member Two
(Last name, First Name; must be completed for a 2 adult membership)
Member Two's cell number
Please list Member Two's cell number
Member Two's email
Please list Member Two's email address
Member Two's birthdate
Children Under 18
Children under 18 are included in the membership
Names of Children
Just list your childrens names for our records
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:
Wisdom Council (you must meet certain qualifications)
Skills or Tasks
Please indicate if you have skills and/or interest in the following:
After Gathering Social (check if you are interested in sponsoring the food)
Phone Calling from home
Communications - publicity, web, leaflets
Childcare at events/Gatherings
Code of Conduct
By completing this membership form, you agree our community Code of Conduct found on the website at
. 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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