All memberships are confidential. 

Your name, address and telephone numbers are not used, or sold to any other organization or business.  It is used expressly to mail you're a monthly newsletter.  PFLAG/Detroit will, once a year, notify PFLAG National of our member standings per our agreement with them.  We will send them $15.00 per Address and you will become a member of National, with voting rights and setup to receive their newsletter. 

If you DO NOT wish your name and address to be sent to National, please make sure that the box is checked to NOT to send.  Existing members need to email PFLAG/Detroit, if they wish their name removed from that list.  Removal will only happen once a year, unless a telephone call is made to them personally. 

The $15.00 Dues fee  will be sent National regardless of your decision to register or not. 
PFLAG Detroit Membership Form      PLEASE PRINT

Name ________________________________________________

Address ______________________________________________

City____________________________________ St______

 

Zip_____________+4__________  Phone Number­­­­­_____________________________

 

EMAIL _______________________________________________

 

Membership Types

_______Individual $30.00  _____Household $ 40.00   _____Supporting $50.00

_____Contributing $100.00  _____Sponsoring $500.00  _____Lifetime $1000.00

______ Do NOT send my information to PFLAG National

______ Contact me for volunteer opportunities  Phone ______________________________________________

______ Add my email address to PFLAG Email Notification System (PENS)

Make checks payable to PFLAG Detroit  and mail to

An Acknowledgement letter with Tax ID will be mailed to you for your tax records