Membership Levels
Membership Level:
Additional Donation Amount:		_______________________________________________
Total Amount Enclosed:		_______________________________________________
Payment method:
If you are mailing your payment by check, please send form and payment to: G.R.I.N. P.O. Box 24365 Cleveland, OH  44124
I would like my Golden Seconds Newsletter sent via email to save on postage costs:
Volunteer Interests
I would like to volunteer in the following areas:
I would like to help with transport:
I can help transport in the following Ohio Counties:
Other counties I can transport that were not listed above:		_______________________________________________
I will drive anywhere in Ohio:
I can help with transport the following days and times:		_______________________________________________ _______________________________________________ _______________________________________________ _______________________________________________ _______________________________________________
After filling out this form, please click on the “SAVE” button below.  After clicking on the “SAVE” button, you will be redirected to a membership confirmation screen.   If you are paying for your membership by PayPal, you will also need to click on the following link in order to complete your membership.   PayPal Membership Payment. If you are paying for your membership by check, please make your check payable to G.R.I.N. and send to: P.O. Box 24365 Cleveland, OH 44124
THANK YOU for joining G.R.I.N.!