2012 Membership Form

Page 1

Friend of the Tree Membership Information

Memberships are per year and run from January 1 through December 31 Membership Level Student $30 Family $85 Individual $60 Additional Contribution Benefactor $100 of $______________ The Family Tree Community Center is committed to serving the needs of the Tallahassee and surrounding communities by providing a safe place for LGBT community life, providing services that promote well being, building bridges to other communities and groups, and advocating for LGBT issues. In order to accomplish this goal, the Board of Directors establishes membership levels and advisory committees in order to engage community input and to support the funding of Center programs. Your Information Primary Name: Additional Person: (requires FAMILY membership) Mailing Address: City: State: Zip: Email Address: Primary Phone: Alternate Phone:

I would like to make an additional contribution of: ADD me to the Branching Out Mailing List Mailed Version Email Version I’m interested in advertising in Branching Out I’m interested in VOLUNTEERING I’m interested in GROUPS AA NA Transgender Other I’m interested in helping with advisory committees Pride/Visibility Community Outreach Events I’m interested in sponsoring Family Tree events I’m interested in being contacted by the LGBT Business Partners group I’m interested in advertising in the annual Resource Guide Please be discreet when contacting me.

P.O Box 38477 Tallahassee, FL 32315 850-222-8555 staff@familytreecenter.org

Payment Information: Payment will be mailed Payment attached Payment received by:

Please send me an invoice Payment via PayPal Date: Check #: Amount:

WWW.FAMILYTREECENTER.ORG


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