Join Affirmation!

Work for Love & Justice in The United Methodist Church

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.
Note: The free Adobe Acrobat® Reader must be installed on your computer to read PDF files.

Mail the membership form to: Affirmation, P.O. Box 1021, Evanston, IL 60204.

BE A PART OF THE AFFIRMATION VISION!

___ 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 $35.00 ($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 This e-mail address is being protected from spambots. You need JavaScript enabled to view it .

All Affirmation correspondence is mailed discreetly. Contributions to national Affirmation are tax deductible.