Become a member – YWCA of Queens

Sign-up for Membership

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Our annual membership levels for the calendar year 2016 memberships are as follows:

Member: $60.00

Senior Citizen (+62) $30.00

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 *

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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