Fields marked * require an entry.

PNA Annual Membership Donation

Package Name	Amount	Subtotal

Individual Membership - 1 Year	$50.00	$0.00

suggested for 1 person who wants to be a member on their own *please enter "1" in the Quantity box for 1 membership*

Household Membership - 1 Year	$80.00	$0.00

suggested for 2 or more people who live together and want a shared membership *please enter "1" in the Quantity box for 1 membership*

Household Membership Plus- 1 Year	$100.00	$0.00

suggested for 2 or more people who live together and want a shared membership *please enter "1" in the Quantity box for 1 membership*

Phinney Funder Membership - 1 Year	$150.00	$0.00

*please enter "1" in the Quantity box for 1 membership*

Phinney Legacy Membership- 1 Year	$250.00	$0.00

*please enter "1" in the Quantity box for 1 membership*

Would you like to enroll in automatically recurring membership renewal? (IMPORTANT: if choosing recurring membership make sure all quantities above are set to 0 so that the system does not charge you twice.)

Enter the annual donation amount for your chosen membership level (see membership levels above):

Check "Yes" and choose "Annually" for the frequency of donation:

Yes

Amount you would like to recur:

Frequency of donation:

Number of recurrences:

Date of your final recurring donation:

Please confirm recurring donation:

Optional: Pay the credit card processing fee for this donation:

3.94%

Total:

$0.00