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Membership
To become a member, first print this page. (Click on the "File" menu in the top left corner of your browser, choose "Print" and click OK). Membership year is from April - March.

Fill out the form and mail it to:
WNY Coalition For The Homeless
PO Box 618, Ellicott Station
Buffalo, New York 14205-0618

Please make checks payable to the WNY Coalition for the Homeless, Inc.

Your Name(s):_________________________________________________________

                        ___________________________________________________________

Organization:_____________________________________________________________

Address:_________________________________________________________________

E-mail:      _______________________________________________________________

Check one of the following options:

I am a new/renewing individual member. Enclosed is my $15.00 annual membership fee.


Our agency requests membership at a fee of $25.00 for up to two representatives and $15.00 for each additional agency representative.


I would like to become an active member, but request a waiver of the membership fee due to financial hardship.


I am interested in the activities of the Coalition and would like to receive the monthly minutes, but I am unable to participate at this time. Enclosed is my annual administrative fee of $15.00. E-mail address is required.


I would like a newsletter sent to me. Please contact me for my information.

Phone: ____________________________     (or Fax:)_________________________