Membership Renewal Form 2011-2012 by stariya

VIEWS: 4 PAGES: 2

									                           PFLAG Greenville
                        Help Line: 864-232-2988

                 MEMBERSHIP/RENEWAL APPLICATION
                      GREENVILLE CHAPTER
___ New Membership

___ Membership Renewal

___ Supporting Membership (Not on any Mailing Lists)

___ Change of Address                      Date:______________________

Membership Details:
             $100                Patron*
             $ 75                Sponsor*
             $ 50                Sustaining*
             $ 30                Couple/Family Member
             $ 25                Individual Member
             $ 12                Student / Senior Member




Name               ________________________________________________

Address            ________________________________________________

City/State/Zip     ________________________________________________

Home Phone         ________________________________________________

Email              ________________________________________________

Please make checks payable to:       PFLAG Greenville

Please Mail to:                      PFLAG Greenville
                                     Attn: Margie Candler
                                     202 High Meadow Court
                                     Greer, SC 29650


THANK YOU!!

Reminder: PFLAG Greenville meets 1st Wednesday of every Month at



                                                             September 2011
7:00 p.m.




            September 2010

								
To top