Contact or Join our Chapter

   Drop into a monthly gathering!
1st Thursday at 7 pm in Easton
3rd Thursday at 7 pm in Chestertown
Check out the calendar for locations and topics for each month's meeting

Visit our Resource Center located at the church home of:
Unitarian Universalists of the Chester River
914 Gateway Drive
Chestertown, MD. 21620

Resource Center Office Hours Mon.-Fri. 8:30 a.m. to 10:30 a.m. or request an appointment
The center is also open any time UUCR is having an event.  See uuchesterriver.org

Call us at: 443 480 3138  Linda Dutton's cell phone is ready for your messages.

Check us out on  FACEBOOK PFLAG Chestertown

Check out our NATIONAL ORGANIZATION at PFLAG.org

email: pflagchestertown@gmail.com

            DONATE to or JOIN our chapter by copying, printing and snail mailing the form below.  





Membership Form for PFLAG or Mid-Shore Chestertown
Parents, Families and Friends of Lesbians and Gays
Serving the Mid and Upper Eastern Shore of Maryland
www.PFLAGChestertown.com
Our chapter formed in 2012.  We welcome  your involvement in our all volunteer organization. Membership dues, donations and grants are our only revenue source as a 501c3.

Membership and Donation Options
You may choose multiple categories.
 Local and National membership is included in donations of $30 or more.
o        Individual Annual PFLAG Chestertown Membership ($30)
(We will be sending $15 of your $30 to National PFLAG as required.)
o        National PFLAG Annual Membership thru Chapter affiliation
(add on $15 more so we may use your first $30 for local needs)
o        Family Membership ($40, please list multiple name info)
o        Senior/Student/Special ($20, you decide if this category fits you)
o        Donation added to help with our local chapter needs listed on back
                       Thanks so much! Tax receipts will be sent to the email address you list below.

Name __________________    __________________          ____________
                                  First  name                                                           Last name                                                  optional title


Add additional name(s) for family membership info or share additional information about yourself.  Our membership information is confidential and emails are blind copied.

________________________________________________________________________
I also am willing to help with: (circle or add some topics) publicity, networking, support groups, resource materials, program or special event planning, advocacy, working with schools, age specific activities, data base management, web/tech work, nothing at all, etc. Remember we are all volunteers!


Email:_____________________Phone(s)__________________________

Address _____________________________________________________
              Number and Street                                        Town, State, Zip


Donation total ________ please calculate your donation based upon categories checked above
             Date_________  
                 mm/dd/year          Please make checks and mail to:  PFLAG Chestertown
                                                                                               914 Gateway Drive                                                                                                          Chestertown, MD 21620
For Office use only:
o        Info entered in database __________date__________ initials 
o        Payment deposited ______________date__________ initials
o        Renewal request sent____________ date__________ initials




No comments:

Post a Comment