Philadelphia Family Pride A non-profit, volunteer run, membership organization for LGBT parents, prospective parents and their children in the greater Philadelphia region.

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Member information is confidential. Philadelphia Family Pride (PFP) is a 501c3 tax-exempt organization. All contributions are tax deductible to the extent allowed by law. Thank you for your support!

Parent/Adult Name*
FirstLast
Phone*
Email*
Address*
Street AddressAddress Line 2CityStateZip Code
County*
2nd Parent/Adult Name
FirstLast
Email
Add another Parent/Adult
- Third
- Fourth
Parent/Adult Name*
FirstLast
Email*
Parent/Adult Name*
FirstLast
Email*
Child Name
Year of Birth
Add More Children
- Second Child
- Third Child
- Fourth Child
- Fifth Child
- Sixth Child
Child Name*
Year of Birth*
Child Name*
Year of Birth*
Child Name*
Year of Birth*
Child Name*
Year of Birth*
Child Name*
Year of Birth*
How did you hear about us?*
Where did you hear about us?*
ANNUAL MEMBERSHIP*
- Prospective Parent(s) - $25
- Family Membership - $40
- Contributor Level - $65
- Sustainer Level - $100
- Sliding Scale (please pay what you can)
Sliding Scale Amount*
Please add number, without the $.
Please enter a value greater than or equal to 5.
Total
$0.00
Would you like a Hat or a Bib?
What size T-shirt would you like?
Payment Options*
You will receive a confirmation email after joining.
- PayPal
- Mail a check
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Philadelphia Family Pride
PO Box 235
Springhouse, PA 19477
215-600-2864
info@philadelphiafamilypride.org

© 2013 Philadelphia Family Pride. All Rights Reserved.

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