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Membership/Renewal Form

Print & mail this form to: Positive Voice, Inc. PO Box 1381, Green Bay, WI 54305-1381.

I want to become a member of Positive Voice, or renew your annual membership.

  • Memberships are in effect for one year from payment date.
  • Your membership includes a subscription to the Positive Voice Inc. News, discounts on events and helps us develop programming to enrich the lives of gay men & women in NE Wisconsin.
  • Positive Voice is a non-profit 501.C3 organization. Your donations may be tax deductible.

Positive Voice respects the right of confidentiality and privacy in all correspondence. Thank You!

Name: ________________________________________________________

Address: ______________________________________________________

City: __________________________, State: ____, Zip code: _____________

E-mail address: _________________________________________________

Membership Levels

Sponsors Circle - $1000 or more

Founders Circle - $500 to $999

Director’s Circle - $250 to $499

Patrons Circle - $ 75 to $249

Families Circle - $35 to $74

Members Circle - $25 to $34

Students Circle - $10 to $24

 

I am / We are enclosing:______________ for _________________ Circle

$__________ is enclosed as an additional gift to help support the mission of Positive Voice.

$___________ Total amount enclosed

Please make your check payable to Positive Voice, Inc.

  • Would you prefer your newsletter delivered as an Adobe .pdf email attachment or  via US mail? The electronic version saves us money and allows your membership to do more (circle one): pdf edition /  paper edition.
  • If you prefer a paper copy mailed to you, should we mail your newsletter in a sealed envelope?: yes  /  no