Red Hills Pagan Council Membership Form P.O. Box 15311 Tallahassee, FL 32317-5311
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Beside your name, address, phone and email address, please indicate whether the information is: Publishable (P), meaning it can be posted on the RHPC website and publications for people who might wish to contact you; Sharable(S) meaning we can share it with other RHPC members only; or Confidential (C) meaning that only RHPC officers will know it.
RHPC Membership Rates:
Individual_____ year(s) @ $5 = $_______ Family _____ year(s) @ $10 = $_______
Checks or money orders should be made payable to RHPC in US Dollars only, and mailed to: RHPC P.O. Box 15311 Tallahassee, FL 32317-5311
I certify that I am 18 years of age or older: () Yes () No (Check one)
If you are under the age of 18, you must have a parent or guardian sign here to indicate his/her permission for you to be a member of RHPC, and that signature must be notarized.
To whom it may concern:____________________ has my permission to become a member of the Red Hills Pagan Council and I am fully aware of the Neo-pagan nature of this organization.
__________________________________________Parent or Guardians signed name
__________________________________________Parent or Guardians printed name