Individual Membership Application
Start your annual MACH membership today and join other individuals who are passionate about ending homelessness in our community. Annual membership is valid from October 1 – September 30. For NEW MEMBERS ONLY, memberships purchased after June 30 will be valid until September 30 of the following year. Questions about membership? Call (334) 261-6182.
Member Name
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Primary Phone Number
*
Please enter a valid phone number.
Secondary Phone Number (if applicable)
Please enter a valid phone number.
Email
*
example@example.com
What is your interest in problems related to homelessness?
Membership Payment and Optional Donations
*
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Make a Donation to Support Our Work
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Membership
$10 Individual Membership
Annual membership is valid from October 1 – September 30. For NEW MEMBERS ONLY, memberships purchased after June 30 will be valid until September 30 of the following year.
$
10.00
Make a Donation to Support Our Work
$10 purchases a hygiene kit for someone living on the streets or in a place not meant for human habitation.
$
10.00
$25 purchases a State I.D. for someone experiencing homelessness to access needed services.
$
25.00
$50 purchases a one-month bus pass for someone experiencing homelessness to attend job training, look for employment, or report to work.
$
50.00
$100 supports daily activities of our Street Outreach and Housing programs.
$
100.00
$500 supports our work to assess needs, secure resources, and implement plans to end homelessness in our area.
$
500.00
Donate Another Amount
$
1.00
Donation Amount
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$
0.00
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