202 Unique Membership Form 2022-2023
If you are signing up multiple people please fill this form out multiple times.
Name
First Name
Last Name
Preferred Pronouns
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
My Products
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Free LGBTQ+ Community Membership
This membership is open to any LGBTQ+ Community member or immediate 'family' member of an LGBTQ+ community member
$
Free
Paid LGBTQ+ Community Membership
LGBTQ+ Community member or immediate 'family' member of an LGBTQ+ community member. (includes your choice of membership gift)
$
25.00
Ally Membership
This membership is open to anyone who wants to support 202 but isn't a direct part of the LGBTQ+ community. (Includes your choice of membership gift)
$
30.00
Donation
Drop down menu for donatoins: 1, $5 2. $10 3. $25 4. $50 5. $100
$
5.00
Quantity
1
2
3
4
5
Submit
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