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Membership Application

To become a member of Ebony Pride, please fill out the requested information below. The dues are $10/year. We accept dues payments via PayPal, which accepts bank debits or any major credit card.

If you would rather mail in your membership application and dues, click here.

Application

First Name*:			Last Name*:
Address*:
City*:		State*:		Zip*:	-
Phone (Day)*:	() -		Phone (Eve):	() -
E-mail

Please add me to your e-mail list.
Please add me to your postal mailing list.
Please list me in the Ebony Pride San Diego Member Directory.

Please select your area(s) of interest (optional):

Finance	Public Relations	Policy
Strategic Planning	Community Relations	Human Resources
Volunteering	Other (Please Specify)

Please tell us about any particular skills or talents you can bring to the organization (optional):

Please let us know of any concerns of issues you would like to see addressed by Ebony Pride San Diego (optional):