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?

I am already a memberSearch engineUnitarian ChurchIAFFrom an existing memberArticle (online, published, etc.)Other
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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