PFLAG-KC 2007-2008 MEMBERSHIP/RENEWAL
Membership renews October 1st.  Subsidized memberships are available.

Your dues enable our chapter to buy new materials for our library, provide information to the community and all of the other necessary things to further our goals.  If you would like to join or renew, please fill out the form below and send it with your check to:

PFLAG/KC,  PO BOX 414101,  KANSAS CITY, MO 64141-4101

_____$37.00 - Household;       _____$27.00 - Individual;         _____$12.00 - Newsletter only

Members of the KC chapter are also members of National PFLAG, and will receive The PFLAGPole and other mailings with "PFLAG" on the envelope.  Please check your preference:

Forward my address to the National Federation,   _____ yes;   _____ no.

I am enclosing an additional, tax deductible, contribution of :   $___________.

NAME:_________________________________________________________DATE:______________________

ADDRESS:________________________________________________PHONE:__________________________
                                                                                                                    (area code)
CITY:______________________________________STATE:_______ZIP+4:____________________________

e-mail address (optional):__________________________________________________________________