Site hosted by Angelfire.com: Build your free website today!

Membership Form

We are always looking for new members and volunteers. If you have some time to give PFLAG we would appreciate your letting us know. Use the information below, and if you are interested in any of the volunteer opportunities, we would like to have you join us.

 

Name
StreetAddress
City, State, Zip code
E-mail address
Phone Number

New

Renewal

Change of Address

Please contact for volunteer opportunities

$25.00 Individual/Household Membership*
*I do do not want to receive the national PFLAGpole publication. When checked above, members will receive the national quarterly publication (PFLAGpole) as well as our local quarterly newsletter.

$5.00 Newsletter subscription only

Donation (Tax Deductible)

Make checks payable to Youngstown Area PFLAG, include your name, address and telephone number.

YES, I will support Youngstown Area PFLAG in the following ways:
(Please check your interests, *starred items mean training is available for these functions.)

Serve on following committees:
Speaker's Bureau* Fundraising Education
Public relations Membership Advocacy
Newsletter Library Receive telephone inquiries*

Help with following tasks:
Facilitate meetings* Provide a ride to meeting Assemble newsletter
Stuff envelopes Bring refreshments to meetings Greet guests
Write articles for newsletter Secure speakers for monthly meetings Write grant proposals
Plan programs Clean up after a meeting I am willing to help where necessary

Please print this form and send it with your dues check to the following address:


PFLAG/Youngstown
2201 Goleta Avenue
Youngstown, OH 44504