Humanist Society of Iowa
Membership Form (2025)
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What type of membership do you want?
*
Individual (per calendar year (Jan-Dec)) - $15.00
Family (per calendar year (Jan-Dec)) - $25.00
Lifetime (per individual, Nontransferable) - $500.00
Name
*
First Name
Last Name
Email
*
example@example.com
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Address
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
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Secondary Email: (Second person for a family membership)
example@example.com
Primary Phone Number:
Please enter a valid phone number.
Format: (000) 000-0000.
Secondary Phone Number: (Second person for a family membership)
Please enter a valid phone number.
Format: (000) 000-0000.
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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 for family membership)
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?
Yes
No
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How did you find out about us?
I am already a member
Search engine
Unitarian Church
IAF
From an existing member
Article (online, published, etc.)
Other
Comments?
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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 Card
Paypal
Mail a check
Cash 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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