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YWCA of Queens
>
Membership
>
Become a member
Sign-up for Membership
Our annual membership levels for the calendar year 2016 memberships are as follows:
Member: $60.00
Senior Citizen (+62) $30.00
Membership Information
First Name
*
M.I.
Last Name
*
Gender
*
Male
Female
Date of Birth(mm/dd/yyyy)
*
Address
*
Email Address
*
Cell Phone
*
Home Phone
Occupation
Country of Origin (If not U.S.)
Status
U.S. Citizen
Permanent Resident
Other
Fees
Fees
*
Member - $60
Senior Citizen (+62) - $30
Payment Option
*
One time
Recurring yearly
Additional Donation
$
If you would like to make an additional donation to the YWCA, please enter amount here:
Total Amount:
$
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