Atheists of Florida Inc.                      Membership Application
( Print out this form, fill in, and send it with check to address below. * = Required Info. )

*Name:(Last)_______________________ (First)____________ Spouse/Covivant: ___________________________________ 
*Address: ________________________ *City: ____________
*State: ___* Zip: ________ Phone: (___) _________________
Fax: (___) ______________ Mobile: (___) ______________
E-mail: __________________________________________

Individual (year)       40.00
Couple/Family (year)50.00
Sustaining (year)       60.00
Life Membership     $500.00
Student ( include copy of student ID) 10.00 / year.  
Newsletter only (must live outside of Florida) 10.00 / year
*Signature: _________________________ Date: ___________

There are many volunteer opportunities that keep the atheist movement high in the public perception. YOU may be able to assist in our broadcast operations, or with video production, or with other forms of direct outreach. Helping with office duties, event setup and other essential functions is equally important. Do you have a particular talent you would like to place in the service of freedom?
__________________________________________________.

Also, Please consider...
Camp Quest - Atheists of Florida sponsors an 8- to 12-year-old child each year at this summer camp held in Ohio which promotes critical thinking and emphasizes the notion that children should not be ashamed of being atheists. Tuition is about $495. per camper. Donation: $_________

Make check payable to: Atheists of Florida, Inc.
P. O. Box 130753 Tampa, FL 33681

Coming soon! You will be able to make anonymous contributions if you wish. A method is being arranged to make this possible soon.