Membership Application for
Becoming a member of the Seattle Atheists is not
only a way to interact with fellow atheists. It also makes a statement that you
are willing to stand up for individual and intellectual freedom and contribute
to the efforts of the atheist community.
Name(s):
_________________________________________________________________
Address:__________________________________________________________________
City:
Telephone: (____)__________________
Email: __________________________________
*Note: Your personal information will be kept
strictly confidential.
Please indicate which type of membership you prefer:
[ ] Individual $25 [
] Student/Senior $15
[ ] Household $35 [
] Lifetime $250
To make an additional donation to Seattle Atheists
beyond your membership dues, please indicate where you would like to have those
funds directed:
[ ] General Fund [ ] Building
Fund
[ ] Legal Fund [ ] Speaker
Fund
Total amount enclosed: _______________________
May we ask how you heard about Seattle Atheists?
[ ] Friend [
] Yahoo Group [ ] A website: ___________________
[ ] Meetup.com [ ] Print Ad: ______________
[ ] Other: _____________________
Signature: _____________________________________ Date:_____________
Return this form to: Seattle Atheists.
You may also hand-deliver your application and dues
to Seattle Atheists treasurer Jerry Schiffelbein or another board member at any
group event. Jerry can be reached at jerry.schiffelbein@seattleatheists.org.
Because Seattle Atheists is a not-for-profit
organization, annual membership dues and any additional donations are tax
deductible. Just ask for a receipt.
Thank you for your support of Seattle Atheists!