Become a New Member

Please print and mail this form with your check, money order
or credit card information to:

FFRF, Inc.
PO Box 750
Madison WI 53701
USA

	I would like to become a member. Dues and donations are tax-deductible. Membership includes 10 issues of the newspaper Freethought Today:
	Individual Member: $40.00
	Household Membership: $50.00
	Gung-Ho Member: $75.00
	Sustaining Member: $100.00
	Sponsoring Member: $500.00
	Life Member: $1,000.00 (Single Membership)
	Student Member: $25.00 – School & year
	Subscription only: $20.00. Freethought Today. Not tax-deductible.
	I am enclosing a tax-deductible contribution for the Foundation's Legal Fund:             $

For foreign countries, add the following to the above amounts:
Canada: Add US$20.00. Mexico: Add US$21.00.
New Zealand, Australia, Japan: Add US$44.00. All other countries: Add US$40.00.

Name(s)  

Address  

City/State/Zip  

Phone/Email  

How did you learn about FFRF?  

Payment Method

 Check or M.O.
 Credit Card (Visa/MasterCard only)

Credit Card #       Expiration (MM/YY) 

Total $ (U.S. Dollars)

Signature 
(if using credit card)

FFRF protects your confidentiality and will not divulge, sell, or give away its mailing list. Email and phone are requested for in-house convenience only. Thank you for your support.