Join the
San Francisco Gray Panthers

You may use your PayPal account or
your credit card to join online by clicking
the level at which you wish to join below:

(If you do not have a PayPal account,
scroll down on the following page and click
'Continue' to pay with your credit card,
or bank account.)

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Basic Member - $30.00

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Contributing Member - $50.00

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Supporting Member - $75.00

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Sustaining Member - $100.00

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Or print out this form and mail it to us
with your check to:

Gray Panthers of San Francisco
1182 Market Street, Ste. 203, San Francisco CA 94102

Name _________________________________________

Street _________________________________________

City _______________________ State ____ Zip _______

Phone __________________ e-mail __________________

Please make checks payable to: Gray Panthers of San Francisco

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