Membership/Donate

Online Membership & Donation Form

* Indicates required field

Primary Member *

First

Last

Check type of membership *

Amount of Membership / Donation *

Household Membership (List up to 3 family members) *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Email *

Best Contact Phone Number *

Click "Submit" button to submit the form, then click the organge "Donate" button below to complete the financial transaction via Paypal or Credit Card.

Submit Form

Paper Membership & Donation Form

1) Print Membership / Donation Form below.

2) Complete in full (Indicate if membership and/or donation).

3) Issue check payable to:
PFLAG - San Gabriel Valley Asian Pacific Islander

4) If doing both, please write separate checks and indicate
"For Membership" or "For Donation Only".

5) Mail check and completed form to:
Attn: SGV API PFLAG c/o Janet Uradomo
1750 W. 244th Street, Torrance, CA 90501

pflag_sgv_api_membership_form.pdf
Download File

Pay Membership or
Make a Donation through PayPal

SHOP FOR A GOOD CAUSE!
When you shop on AmazonSmile, the AmazonSmile Foundation will donate 0.5% of the price of eligible purchases to PFLAG SGV API! That will bring a big smile to the LGBTQ communities that we serve!

Go directly to our AmazonSmile webpage: https://smile.amazon.com/ch/46-2254601

Further questions about this program may be answered at Amazon's website Q&A: http://smile.amazon.com/gp/aw/ch/about or e-mail us at sgvapipflag@gmail.com.