Membership Form

If you wish to become a member of HAGP, please print and fill out the form below, then mail it with a check for the appropriate amount to:

Humanist Association of Greater Philadelphia
P.O. Box 161
Willow Grove, PA   19090-0161

Membership Types:

Individual- $25.00
Family - $35.00
Student/Limited Means - $15.00
Sustaining member - $50.00
Patron - $100.00
Sponsor - $150.00
Lifetime - $250.00
Benefactor - $500.00
Building Fund - $1000.00

Type of Membership _______________________________________________
Check One New Membership ____    Renewal ____
Name: _______________________________________________
Address: _______________________________________________
  _______________________________________________
Email: _______________________________________________
Phone: _______________________________________________
Spouse/Partner: _______________________________________________