• Pneuma Life Membership Application

    To apply for membership please complete the following form and make a donation.
  • Disclaimer & Signature

    • I certify that my answers are true and complete to the best of my knowledge.
    • I understand that false or misleading information in my application may result in the termination or release of my membership.
    • I also understand that a portion of my membership will be donated to the Judy E. Brown Memorial Fund.
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                  Individual Membership
                  $25.00
                    
                  $50 Donation
                  $50.00
                    
                  $75 Donation
                  $75.00
                    
                  $100 Donation
                  $100.00
                    
                  Custom DonationPlease adjust the quantity to reach the desired donation amount.
                  $10.00
                    
                  Check / Money OrderI will send a Check or Money Order payable to: Pneuma Life Foundation | P. O. Box 248154 | Lyndhurst, Ohio 44124 | Contact: (216) 820-0122
                  $ Free
                    
                  Cash AppI will send my donation via Cash App: $PLF1996
                  $ Free
                    
                  Total
                  $0.00
                • Should be Empty: