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A/PGF's
Membership Application
(Please print, fill out
application and mail with your check)
Please check
ONE : o New o
Renewal
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Name |
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Couple - 2nd Name |
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Street Address |
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Street Address (line 2) |
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City |
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State/Zip Code |
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Home Phone |
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Business Phone |
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Birthday (Month/Day Only) |
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Birthday (Month/Day Only) for
Partner |
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Occupation |
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E-Mail Address |
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Interests |
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How did you hear about A/PGF? |
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Check committee (s) you would like to help with: |
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| ____HIV Support
Group |
____Fundraising |
| ____Membership
Outreach |
____Rap |
| ____Publications |
____Web |
| ____Culture &
Education |
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Please print this
application and mail your check or your money order to:
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Asian/Pacific Gays & Friends, Inc |
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7985 Santa Monica Blvd |
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Suite 109, Box 443 |
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West Hollywood, CA 90046-5112 |
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Membership Fee's |
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$25 |
Regular Membership |
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$15 |
Student Membership - (Proof
Required with your application |
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$45 |
Couples |
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SPECIAL |
Save on Two Year Memberships -
$45 regular, $75 for couples |
Membership lists of A/PGF are
confidential and available only to board members and designates
for official A/PGF purposes. The lists are NOT sold or given to
any other individual or group. Membership and full participation
in A/PGF is open to any person eighteen years of age or older
without regard to race, creed, color, sex, occupation, national
origin, citizenship, or sexual orientation. A/PGF is a
"non-profit" organization.
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