Humanist Society of Iowa

Humanist Society of Iowa

Membership Form

What type of membership do you want?*

Individual (per calendar year (Jan-Dec)) - $15.00Family (per calendar year (Jan-Dec)) - $25.00Lifetime (per individual, Nontransferable) - $500.00
Name*

First NameLast Name
Email*
example@example.com

Address

Street Address

Street Address Line 2

CityState

Zip Code

Secondary Email: (Second person for a family membership)
example@example.com
Primary Phone Number:
Please enter a valid phone number.
Secondary Phone Number: (Second person for a family membership)
Please enter a valid phone number.

Mailing Lists (Primary email address)

Society information (events; news; etc.)Book club mailing list (book club meets twice a month (in person and Zoom)
Mailing Lists (Secondary email address)

Society information (events; news; etc.)Book club mailing list (book club meets twice a month (in person and Zoom)
Are you a member of First Unitarian Church of Des Moines?

YesNo

How did you find out about us?

Search engineIAFUnitarian ChurchExisting memberNewspaperOther
Comments?

Please verify that you are human (Please enter what is in the box below in the white box)*
How do you want to pay?*

Credit CardPaypalMail a checkCash handed to a board member
After submitting this form your information will be sent to the Humanist Society of Iowa and you will be redirected to instructions for payment. Thank you!
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