Please fill out the membership form below or click for the print-friendly PDF version. We also have a free full-color brochure in PDF format.
Mail the membership form to: Affirmation, P.O. Box 1021, Evanston, IL 60204.
___ I want to be more involved in the vision of Affirmation, nationally or locally
___ I am interested in connecting with like-minded people in my area.
___ I do / ___ I don't have Internet access.
___I would like to receive communication by email.
I want to join Affirmation! ____________
Annual membership $25.00 ($10.00 Low Income)
I pledge $____________ paid ___ monthly ___ quarterly
___ A one time payment of ____________.
___ Check enclosed ___ Visa ___ Mastercard
Expiration: ____________
Card number _____________________________________
Signature _____________________________________
Enclosed is a donation of $ __________. (You can also donate online)
Name: ___________________________________________________________
Street Address: ____________________________________________________
City _________________________________________________ State _______
Zip ______________________ Phone _________________________________
Annual Conference __________________________________________________
Email Address: ___________________________________________________
I want a ___ call / ___ email about major gifts.
___ I will pray for Affirmation.
Mail this form to: Affirmation, P.O. Box 1021, Evanston, IL 60204 or contact us at umaffirmation@yahoo.com.
All Affirmation correspondence is mailed discreetly. Contributions to national Affirmation are tax deductible.