Kansas Equality Coalition Central Plains Chapter: Join!

Chapters Central Plains Hutchinson Kansas City Lawrence North Central Northwest Riley/Geary Southeast Southwest Topeka Wichita

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Kansas Equality Coalition: Join!

By joining Kansas Equality Coalition, you'll be added to our e-mail list to receive news on our events and changes effecting our community. You can use this form to become a new member or to get a website login name if you're an existing one.

If you've already submitted a paper membership form, you're welcome to fill out this form to get a website username and password. Make sure you enter an e-mail address that matches the one on your paper form. You don't have to enter your address or phone number if we already have it.

If you already have a website login, you can click here to pay your membership dues. Membership is not complete until you pay your annual dues.

Contact Information

Items in red are required. All information is kept confidential in accordance with the Kansas Equality Coalition bylaws.

Name:	First
	Last
Other family members:	(this applies to household memberships only. Also, if anyone in your household has their own e-mail address and would like their own website login, please have them fill out this form separately)
Address:	Street 1
	Street 2
	City
	State
	Zip
Password:
Daytime Phone:
Evening Phone:
E-mail:

Other Information

Chapter: (Members should join the chapter closest to where they reside)

Type of membership:
Full-time student ($10/year)
Individual ($25/year)
Household ($45/year)

Method of Payment:
Online (Paypal)
I will mail in a check or money order
I will bring payment to my chapter's next meeting
I have already paid dues
Another member in my household has already paid household dues.
I would like to apply for a scholarship

How did you hear about the Kansas Equality Coalition?