Membership — PFLAG San Gabriel Valley API

Primary Member

First Name

Last Name

Primary Member Phone Number

(###)

###

####

Primary Member Email

Primary Member Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Check Type of Membership

Individual $25

Household $40 (up to 4 total)

Amount of Membership

Dollar amount of membership or donation.

#1 Household Member Name

#1 Household Member Email

#2 Household Member Name

#2 Household Member Email

#3 Household Member Name

#3 Household Member Email

Membership

10/1/24 - 9/30/25

Click "Submit" button to submit the form, then click the "Donate" button below to complete the membership payment via Paypal or Credit Card.

Donate

Become a Member!

Becoming a PFLAG San Gabriel Valley Asian Pacific Islander member allows us to offer monthly support group meetings, pay for outreach activities and events throughout the year – such as information tables at area events, annual Pride events, etc. A portion of your dues ($15) is sent to PFLAG National, making you a member of the national organization to support its work at the national level.

However, please note that dues or donations paid directly to PFLAG National do not flow to the PFLAG SGV API Chapter nor does it affiliate those members to PFLAG SGV API.

We are a 501(c)(3) non-profit organization. Your membership dues and donations are tax deductible.

Paper Membership Form

1) Print Membership Form below.
2) Complete in full (indicate Individual or Household Membership).
3) Make check payable to:
PFLAG - San Gabriel Valley Asian Pacific Islander
4) Mail check and completed form to our Treasurer:

Janet Uradomo
1750 W. 244th Street

Torrance, CA

90501

Click the link below for printable form: pflag_sgv_api_membership_form.pdf