|
|
(260) 497-8528 |
We can all help each other. (260) 497-8528 pflagfortwayne@gmail.com |
Print and fill out this form and mail it to the address below to join with us to help build understanding and acceptance. You are welcome because our goal is to be as helpful as possible by working together for support, education and advocacy. Your support will be rewarded with a subscription to the PFLAG-FW newsletter.
Name _____________________________________________ Phone (____) _____ _________
Address _____________________________________________________________________
City ________________________________________ State _______ ZipCode_____________
E-mail __________________________________________________
[__] Yes! I want to support PFLAG's efforts. Enclosed is my $30 tax-deductible membership.
[__] I enclose a $10 contribution to help cover the newsletter mailing but I don't wish to join at this time.
PFLAG POLE (the national newsletter)[__] I DO wish to receive PFLAG POLE at my home address.
[__] If you desire it in a plain envelope - add $10.
[__] I DO NOT wish to receive the PFLAG POLE.
I wish to help others, as I have been helped. I can spare 2-3
hours a month. I'm interested in:
|
[__] Hospitality / Greeter at meetings |
[__] Newsletter - assembling |
|
|
[__] Library - books to meetings |
[__] Program Planning - ideas; speakers/video/panel |
|
|
[__] Membership - telephone contacts |
[__] Publicity - info. to newspapers |
Make check payable To: Fort Wayne PFLAG
P.O. Box 5086
Fort Wayne, IN 46805-5086