OrangePride Membership Registration
Please Note:

If you have a Firewall set up on your computer (for example:  Norton Personal Firewall or Zone Alarm)
you may get a Yahoo! "Requested Page Not Found" Error.
If this occurs, hit the Back button on your internet browser to get back to this page and click on the link
directly below to get to the confirmation page where you can make your PayPal payment.
Rest assured we will have received your application form either way.
(You may e-mail Membership to double-check this if you wish).  
Click Here to go directly to our Application Received Confirmation Page
Is this a Membership Renewal?
 Yes
 No
Is this a Gift Membership?
 Yes
 No
If a Gift Membership, please enter the name(s) of the
sender(s) here:
Name:
Address:
State:
 Zip:
Town/City:
E-Mail:
Phone:
What is the best way and time to contact you?
Optional Information:
Adults:
Children:
Pets:
Interests (check as many as you choose):
Social
 Events
 Educational
Business
 Political
 Membership
Other (specify):
For Business Owners/Operators:
Please add me to your list of GLBT-owned/friendly/operated businesses
Business Name:
Address:
Town/City:
 State:
 Zip:
Phone:
 E-Mail:
Website:
Type of Membership Desired:
Single ($20/year)
 Family($30/year)
 Senior ($10/year)
 Student ($10/year)
Once your application and payment are received we will send you a Membership Card which entitles you
to discounts on OrangePride events and discounts with local merchants/businesses.
While OrangePride is starting up, the membership fees are going toward our legal fees so that we can
incorporate and become a non-profit organization.
If you wish to join Orange Pride but cannot make the full fee payment right away, please contact us
to arrange a payment plan or check box to the left.
Please make checks payable to OrangePride.
Please bring your membership fee to the next community meeting or mail it to:
OrangePride, 581 Mountain Road, Port Jervis NY, 12771
We now accept PayPal !!!
Links will be available to send us your PayPal payment once you click the Submit Form button.
Please let us know if you have
additional information or comments:
Please see instructions below if you get
a "Requested Page Not Found" Error