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PASCH Membership

Would you consider joining us in the pursuit to end abuse in the Christian home?
Members are entitled to receive our newsletters via email or paper.

Contact Information Required fields in bold.

Title

First name

Last name

Address

City

State or Province

Postal Code

Phone

Organization

Web site

Contact Safety

If you are in an abusive relationship, we do not want to send information to you by any means that is not safe. All registrants must select “yes” or “no” below for each means of communication. Thank you for your cooperation.

Safe to email
No Yes

Safe to mail
No Yes

Safe to phone
No Yes

Membership details

Membership Type

You may sign up for a one or three year membership.
You may also request a one-year, low income rate.

One year member $25
One year $15 (low income rate)
Three year member $64

Newsletter Delivery

Email
Paper, via post
Don't send me the newsletter, please.

Payment Method

Online (Credit, Debit, or Paypal)
By Mail (Check or Money Order)

Donation

Enter a whole dollar amount, please.
$

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