Membership Levels

   
Membership Level:

    ____ $15 Senior Membership (65 and over)
____ $25 Single Membership
____ $35 Family Membership
____ $50-$99 Bronze Membership
____ $100-$249 Silver Membership
____ $250-$499


Additional Donation Amount:

    _______________________________________________


Total Amount Enclosed:

    _______________________________________________


Payment method:

    ____ Check
____ On-line via Paypal


If you are mailing your payment by check, please send form and payment to:
G.R.I.N.
P.O. Box 24365
Cleveland, OH  44124

   
I would like my Golden Seconds Newsletter sent via email to save on postage costs:  

    ____ Yes
____ No


Volunteer Interests

   
I would like to volunteer in the following areas:

    ____ Booth Work
____ Committees
____ Crafts/Sewing
____ Follow-up Calls
____ Fostering
____ Home Visits
____ Mailing/Stuffing
____ Newsletter
____ Phone Interviewing
____ Special Events
____ Website


I would like to help with transport:

    ____ Yes
____ No


I can help transport in the following Ohio Counties:

    ____ Ashland
____ Ashtabula
____ Columbiana
____ Cuyahoga
____ Erie
____ Geauga
____ Huron
____ Lake
____ Lorain
____ Mahoning
____ Medina
____ Portage
____ Richland
____ Stark
____ Summit
____ Trumbull
____ Tuscarawas
____ Wayne


Other counties I can transport that were not listed above:

    _______________________________________________


I will drive anywhere in Ohio:

    ____ Yes
____ No


I can help with transport the following days and times:

    _______________________________________________

_______________________________________________

_______________________________________________

_______________________________________________

_______________________________________________


After filling out this form, please click on the “SAVE” button below.  After clicking on the “SAVE” button, you will be redirected to a membership confirmation screen.   If you are paying for your membership by PayPal, you will also need to click on the following link in order to complete your membership.   PayPal Membership Payment.

If you are paying for your membership by check, please make your check payable to G.R.I.N. and send to:
P.O. Box 24365
Cleveland, OH 44124

   
THANK YOU for joining G.R.I.N.!