Survivorship membership rates are on a sliding fee scale, based on ability to pay, beginning from $75.00 down to what you believe you can afford.
As our costs go up, we hope that some of you will be able to help out by increasing your membership contribution. If you cannot do so, you are welcome to continue at the old rates. We ask that health-care professionals contribute towards gift memberships.
If you have a gift membership this year and would like another one, please let us know that you are still interested in Survivorship and want to renew. If you need a gift membership this year, please let us know at email@example.com.
We regret that we are not able to provide services or include members under the age of 18.
1. First, decide if you want to read the Survivorship Journal and Notes on the web site (Internet Member) or receive the Journal and Notes by regular mail (Regular Member).
2. Then choose how much you are able to pay.
If you are a professional, we recommend that you donate and additional $35.00 to support gift memberships for low-income survivors.
We truly appreciate gifts so that we may offer support to survivors who are unable to work and for survivors who are incarcerated. All donations are tax deductible. We are a 501(C) corporation.
3. Decide whether you want to pay by Paypal, check or money order. PayPal accepts credit and charge cards. If you want to pay using PayPal, please copy and fill out the form below, email it to firstname.lastname@example.org, and then click here to make your payment.
If you want to pay by check or money order, print out the form below and send it with your payment (in U.S. funds) to:
881 Alma Real Drive Ste 311
Pacific Palisades, CA 90272
Organization (if applicable) ______________________________
Regular Membership: $__________ or Internet Membership $___________
Total enclosed $______________________
You may also e-mail the information on this form to email@example.com.