Join KHRN and help make a difference
 

Please note: Although it is most unlikely that you will experience any problems responding to this form, certain non-standard browsers will not respond properly. If you experience any difficulties, (or if you are not using a forms-capable browser) you may email your response to this form to: khrn@khrn.org.

Please join KHRN in our efforts to move Kitsap County to an open and affirming community for everyone. The information you provide on this form is stricly confidential and will only be available to the KHRN Board of directors for authorized purposes.



Use the "Give Online" button if you wish to make a SECURE ONLINE DONATION for your membership dues. The form on this page is to be used if you wish to be billed by KHRN via US Mail (snail mail).


KHRN depends upon public donations to continue its work. Making a donation through our secure server is fast and easy, and when we receive your donation, we will send you an acknowledgement in the mail for tax purposes.

Please note: We use a nonprofit service to process our credit card transactions. LICA-GiveDirect is the name that will appear on your credit card statment - not KHRN. Using a 3rd party helps us keep our costs low and allows us to spend more time and money on our programs!





Name:
(First)
(MI)
(Last)
Address1:
Address2:
City: State: Zip:-
Contact Phone:
(Day)
(Evening)
(Mobile)
Email:

I would like to serve:

Multiple items may be chosen.
On a standing Committee On a special committee On a specific project Count me as a member

I would like to make the following donation:
(You will be billed at the above address for your donation)

$100
$200
$50
$25 Basic Member
Other

comments:

Thank you for the time you have taken to become an active member of our community. We look forward to seeing you at our next meeting.