2026 Membership Application

2026 Membership Application

Complete this form to apply for official membership in the Palestine Legacy Foundation.
Your membership dues directly support scholarships, alumni programs, service initiatives, and community outreach efforts that create lasting impact for the next generation of Palestine High School students.

2026 Membership Cycle:

March 1 – December 31

(All memberships renew January 1, 2027)

⚠️ Please Note:

Submitting this form does not activate membership. Membership becomes official once payment is received.
Full Name

First NameLast Name
Graduation Year
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.

Annual Membership Plan

$75.00

Total

Credit Card

Apple Pay

Google Pay

Cash App Pay

Afterpay