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Membership Form

Name of Congregation/Coalition/Organization/Church/Student Group

Is this Membership:*

New Member Renewal

Representative’s First Name*

Representative’s Last Name*

Representative’s Congregational Initials

Daytime Phone Number*

Mobile Phone Number

Street Address*

City*

State*

Zip Code*

Email Address*

Which one of the following are you representing?*

Congregation Coalition/Organization College/University Parish/Church Community Individual Other

Is your Representative interested in serving on a Working Group?

No Selection Yes No Not sure yet

If Yes, please rank your interest from 1-4.
1=Most Interested, 4=Least Interested

Advocacy Working Group

1 2 3 4

Educational Resources Working Group

1 2 3 4

Communication Working Group

1 2 3 4

Survivor Support Working Group

1 2 3 4

Annual Support Levels*

MEMBERS
$500: Groups/Congregations
$100: Student Groups
$50: Individual
$25: Student

PARTNERS
$250: Groups/Coalitions

STOP TRAFFICKING NEWSLETTER
$300: Sponsorship

* If your circumstances do not permit you to pay the full amount, please contact Katie@SistersAgainstTrafficking.org.

Please make check payable to: US Catholic Sisters Against Human Trafficking

Please send your check to:
US Catholic Sisters Against Human Trafficking
Attn: Katie Boller Gosewisch
2039 N Geyer Rd.
St. Louis, MO 63131

If you'd like to make your payment online, please click the link below:
Membership Payment Form

Donations to USCSAHT are always appreciated to help us continue our work.

SUBMIT

Thank you for becoming a member of U.S. Catholic Sisters Against Human Trafficking!

If you'd like to make your payment online, please click the link below:
Membership Payment Form

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