Online Membership Registration Form

Latinas Unidas Membership Level*

LU Member Level Amiga/Amigo
LU Member Level Hermana/Hermano
LU Member Level Madrina/Padrino

Annual membership runs by calendar year, from January to December

Amiga Level (Free)
Includes email updates, access to members only area in website

Hermana Level ($25.00/year)
Includes email updates, access to members only area in website, printed newsletter subscription, discount to regular Latinas Unidas events

The Madrina/Padrino Level ($50.00/year)
Includes email updates, access to members only area in website, printed newsletter subscription, discount to regular Latinas Unidas events, listing in online directory with logo and link to website!

Name*

FirstLast

Address

Street AddressAddress Line 2CityState / Province / RegionZIP / Postal CodeCountry

Phone

Email*

Occupation

Employer

Languages

Country of Heritage

I am interested in getting involved in the following:

How did you hear about Latinas Unidas?

I would like to make a donation

Total

$0.00

Thank you for selecting a paid membership. Your membership is used to support our programs in the community.

Phone

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Thank you!