PARSOL Sustaining Member Form

Join the PARSOL Sustaining Donor Program

Use this form and check the recurring contribution monthly option to donate and become a member of the PARSOL Coffee Club! The idea is that for the price of a cup of coffee ($5) or more you can make a difference in funding PARSOL's mandate of fighting unfair and unjust registries and related sex offense policies.

Please be sure to check "I want to contribute this amount every month" below.

Contribution Amount

$ 5.00

$ 10.00

$ 25.00

$ 30.00

$ 40.00

$ 50.00

$ 75.00

$ 100.00

Other Amount

Other Amount $

Total Amount

I want to contribute this amount every

The Pennsylvania Association for Rational Sexual Offense Laws (PARSOL) is a nonprofit organization working toward a fair and just Pennsylvania for all. PARSOL promotes legislation that seeks to increase prevention of sexual abuse and protect the civil rights and effective rehabilitation of those who have offended. We are pleased to know that there are people like you who share the same ideals as us and want to make a difference in the Commonwealth. Please complete this form in its entirely. Thank you!

A Pennsylvania Safe and Just for All Member Form

Email *

First Name *

Last Name *

Suffix

Street Address (Primary)

City (Primary)

Please type in the first few letters of your state to find it in the list.

State (Primary)

Postal Code (Primary)

Phone *

Are you 18 or older? *

Yes

Relation to this issue *

Choose any that apply

Supervision Status *

I am not under supervision

I am under supervision of county probation or parole

I am under supervision of PA State probation or parole

I am under supervision of Federal probation or parole

I am a person who is incarcerated.

By submitting my information to PARSOL, I agree that I have read, understand, and pledge my support to the mission of PARSOL and that I will not use information obtained through PARSOL to threaten, intimidate, or harass any individual, organization, or entity associated with PARSOL.

I agree to the PARSOL's data privacy terms. *

Yes

WAIT! Please be sure you checked the "I want to contribute this amount every month" Box Above.