Jersey Shore PFLAG Chapter Membership/ Donation Form

Jersey Shore PFLAG
1681 Ridgeway Rd., Toms River, NJ 08755

PFLAG needs you!

Jersey Shore PFLAG continues to work toward an inclusive and just society that accepts each individual regardless of sexual orientation or gender identity. We are making a difference in our communities. Thank you for your past support of this effort. Here are some ways you can continue to support Jersey Shore PFLAG:

Individual or family membership for the fiscal year October 1 through Sept 30 is $35.00.

If you are not able to make a financial commitment at this time, don't go away. Your input and support are very important to PFLAG.

Please mail the following with your dues or contribution to the address above. Make checks payable to: PFLAG Jersey Shore.

Membership
Membership type:  New Member ______  Renewal _______

Donation: (All contributions to PFLAG are tax-deductible) Amount: __________

Name: ___________________________________________________________

Address (if not on file with PFLAG, or if needing correction)
___________________________________________________________

Telephone: (________)___________________________________________________

Email: ___________________________________________________________

May we contact you about PFLAG news and events? Yes ___ No ___

Preferred method of contact:
Snail mail ___
Individual email at: _______________________________________*

* Do you want to join the jerseyshorepflag group email (Yahoo group)? Yes ___ No ___

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