Membership Renewal

Your Name

Your Email

Mailing Address

Billing Address (if different from mailing)

Returning Member?
Returning MemberNew Member

Type of Membership
Friend ($50 annually or $5 monthly)Buddy ($75 annually or $8 monthly)Bestie ($125 annually or $12 monthly)Hero Status ($200 annually or $19 monthly)

Annual or Monthly (monthly memberships are billed each month)
AnnualMonthly

If you are choosing to pay monthly, please select what day of each month to automatically charge your card:

Card Info:

This is a secure form but if you prefer to contact us directly for us to take payment over the phone, please email suzy@wearelaunchpad.org

Card Number

Expiration Date

CVV/CVV2 Number

Billing Zip Code

Additional Notes: (optional)

Thank you!
After submitting this form, someone from our staff will follow up to confirm! For any questions please contact our Development & Membership Coordinator, Suzy Violette, at suzy@wearelaunchpad.org