PALS Membership Application

Join PALS and help us continue providing vital support to children and families in need. Your membership strengthens our mission and makes a lasting impact in our community.

All membership application fees are processed in U.S. dollars (USD). EC$ amounts are approximate equivalents for reference.

US$35 (EC$100) – Friend
US$130 (EC$350) – Member
US$280 (EC$750) – Governor
US$740 (EC$2,000) – Trustee

Type of Membership

Donation Amount:

$ 35.00

Personal Info

First Name *

Last Name *

Email Address *

Make this an anonymous donation.

Credit Card Info

This is a secure SSL encrypted payment.

Card Number *

CVC *

Cardholder Name *

Expiration *

Billing Details

Country *

Address 1 *

Address 2

City *

State *

Zip / Postal Code *

Here's what you're about to donate:

Donation Summary
Payment Amount
Giving Frequency	One time
Donation Total

Donation Total: $35.00