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Donation for Gift Membership
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To give someone a gift membership
by making a donation by credit card,
please complete the required fields :
- Your name as it appears on the
credit card
- Your mailing address
associated with the credit card
- Your city, State, ZIP
- Your daytime
phone number
- The amount of
donation
- Your e-mail address
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| Enter
your first name:* |
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| Enter
your last name:* |
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| Address:* |
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| City:* |
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| State:* |
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| ZIP:* |
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| Phone:* |
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| E-Mail
Address:* |
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Please
Enter your Donation Amount:*
E-member . . . . . . . . .
$10
Regular member . . . . . $25
Supporting member . . . $50
Benefactor . . . . . . . . .
$100
Leadership Circle . . . . $250 |
$10, 25, 50, 100, 250, other |
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| Who should we send this Gift Membership to? |
| These Fields Are Required in Order to Process. |
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| First
Name |
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| Last
Name |
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| Address |
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| City |
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| State |
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| ZIP |
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| E-Mail
Address |
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| With a donation of $25 or more,
the gift member will receive a
key chain light with our logo engraved on it. With a donation of $50 or more,
they will receive
the key chain and a t-shirt with the Unmarried America logo. With a
donation of $100 or more, they also may select a free book from a
list of recently published books of interest to solo singles,
unmarried couples, single parents, or people who have divorced or
are widowed. |
If
making a donation of $50 or more, please Indicate the gift
recipient's t-shirt size
if you know it, otherwise we will ask them when when send them a
welcoming package.
If making a donation of $100 or more, you may indicate if you want
them to be able to choose a free book from a list of recently published books
of interest to various types of single people. |
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$50 or more donations, please
indicate size and type of t-shirt (A or B) and Size
in the box to the right, or indicate "ask gift member" if
you want us to ask them the size of the shirt.
A. long-sleeve t-shirt
B. short-sleeve t-shirt
Sizes: S, M, L, X, XX, XXX
$100 or more donations, please also insert
the word "book" and we will send the gift member a list to select
from. |
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Gift Renewals.
If you are renewing a membership for
someone as a gift,
please insert the word "renewal gift" here. |
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