Contact us for more details on Peace and Safety
                         in the Christian Home
.

E-Mail webmaster@peaceandsafety.com
Phone 508-896-3518
Fax 508-896-6864
Address PASCH
1095 Stony Brook Road
Brewster, MA 02631

 

This application must be printed and sent by regular mail. 

 

MEMBERSHIP APPLICATION

 

Would you consider joining us in the pursuit to end abuse in the Christian home?

o         Yes, I would like to become a one-year member of PASCH, and receive all newsletters for one year. Enclosed is my $25 check.

o         Yes, I would like to become a one-year member of PASCH, and receive all newsletters for one year. I am requesting the low-income rate. Enclosed is my $15 check.

o         Yes, I would like to become a three-year member of PASCH, and receive all newsletters for three years. Enclosed is my $64 check.

 

Please send my membership newsletters as :

o        Email

o        Hard copy

o        Yes, I would like to make a one-time, tax ­deductible contribution to PASCH. At this time I am not  interested in becoming a member.

 

Please print the following information:

Name:  ______________________________________________________________________________________

              First                                                      Middle                                                       Last      

 

Company/ Organization:

 

 

Mailing Address ___________________________________________________

 

                         ________________________________________________________

 

Phone: ____________________________

 

Email: ___________________________________

 

Please make checks payable to and send with your membership application to:

Peace and Safety in the Christian Home

1095 Stony Brook Road

Brewster, MA 02631-2448