Form

Membership Form
First Name:*
Last Name*
Member Status*

New Member Renewal Gift Membership
Gift Giver's Name (gift memberships only)
E-mail:*
E-mail: (please type again)*
Phone: (used only if a question about your membership comes up)*
Address:*
Address 2:
City:*
State:
Zip code:*
Do you wish to wish to receive AFC event announcements, event reminders and special announcements via email?
....*

Yes No, newsletter only please
Membership Fees

(all renew Sept. 1)
Select Current Month*
Aug - Oct $20.00 USD
Nov - Jan $15.00 USD
Feb - Apr $10.00 USD
May - Jul $5.00 USD

Total: $0.00 USD
We’d like to hear from you. How did you hear about us? How can we best serve your needs? Is there anything else that you’d like to tell us?
When you press submit you will be taken to Paypal to complete your enrollment. You will receive an email from paypal as a receipt. Within a week you will receive an official welcome email from an AFC volunteer.
Questions? Contact membership@arlingtonfamilyconnection.org or Lauren at 781-648-4631
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Membership Form