Jefferson Humanists Membership Form
You can use this form to join the Jefferson Humanists, renew your membership or make a donation.  You will receive an emailed copy of this form for your records after submitting it.  We thank you for supporting our humanist community.

IF YOU WANT TO MAKE A GENERAL DONATION BY CREDIT CARD, proceed to https://tinyurl.com/JHPayment.  

IF YOU WANT TO BECOME A JEFFERSON HUMANISTS MEMBER OR RENEW YOUR MEMBERSHIP, fill out the form below.

Jefferson Humanists is a chapter of the American Humanists Association.  Find out more and join the AHA at https://americanhumanist.org/.

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Email *
You are invited to join us to find community, knowledge and fulfillment in a humanist life stance.

Jefferson Humanists is a 501c3 organization, and all donations are tax deductible to the full extent of the law.

www.jeffersonhumanists.org
Select your type of Membership (new or renewal)
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Please note your specific annual pledge amount in the line below.  Our Membership Pledge levels are:

Level                 Per Month                  Per Year
Base                  ----                             $35
Bronze              $5 - $9                       $60 - $119
Silver                $10 - $24                   $120 - $299
Gold                  $25 - $74                   $300 - $899
Platinum          $75 - $149                 $900 - $1799
Diamond          $150+                         $1800+
Please note the frequency of your payments to fulfill your annual pledge.  If you select Monthly, we will divide your annual pledge into 12 equal installments.
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I will pay my membership/pledge by:
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Name
Street Address
City, State and Zip
Phone number
Other Family Members (please include name, email addresses & phone numbers, if different from those above)
Please contact me. I am interested in learning more about (check all that apply below):
Please note any comments you have for our Membership committee.
Once you click Submit below, you have one of three options to pay your membership pledge:

For credit card payments, go to this link: https://tinyurl.com/JHPayment 

If you would prefer paying by electronic bank transfer, please fill out and sign the form at  
https://jeffersonhumanists.org/wp-content/uploads/2025/12/Jefferson-Humanists-membership-form-Revised-11-30-23.pdf 

If you choose to pay by check, make it payable to Jefferson Humanists and mail to: 

      Jefferson Humanists 
      PO BOX 1622 
      Arvada, CO 80001 
A copy of your responses will be emailed to the address you provided.
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