Eater Membership Subscription Sign-Up Form

Thanks so much for your support!

Please read all the instructions,  fill out the form below,  print a copy for your records,  and then click SUBMIT to make a secure payment with PayPal.

For any general membership questions or concerns, please contact our Membership Chair,  Brandi Schoen,
at Brandi (a) kcfoodcircle . org

Please note: If you are not automatically redirected to Paypal after completing your membership subscription form,  click here to make your payment online.  Your subscription is not complete until you make a payment.

Not comfortable paying electronically?  No problem!  Download the KCFC Eater Membership Form (.pdf)  and mail your printed form to us with a check made out to *HAAL or Heart of America Action Linkage. Please include KCFC Eater Dues in the memo.

Our mailing address:

KC Food Circle
P.O. Box 20181
Kansas City,  MO 64195

* The Heart of America Action Linkage (HAAL) is our non-profit 501(c)(3) parent organization.

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Secure electronic processing of your KC Food Circle membership is now available -- if possible, please make your payment using our PayPal page (you will be taken to our PayPal page when you complete the form below).

You may also pay by personal check (make checks payable to HAAL* with a memo: "KCFC Dues")
Whatever payment method you choose, please fill out the following form.

Printing: BEFORE YOU CLICK on the SUBMIT button, press CTRL-P (or APPLE-P) to print a copy of this form for your records - please include a hard copy in your mailing when paying by check.

* The Kansas City Food Circle is a long-term (over 20 years)
project of The Heart of America Action Linkage (HAAL), our
parent 501c3 organization.

NOTE: Your contact and payment information will only be used for Kansas City Food Circle membership processing, and it will never be shared with any third party for any reason.

If you experience any trouble filling out or submitting this form, please call Dave Lawrence at 913-620-8427 for support.

Contact Form

*(denotes required field)

NAME USED on PayPal/Credit Card (or enter "Paying by Check") *

E-Mail Address: *

E-Mail Address again: *

Please enter your E-mail Address a second time.

Please enter TYPE OF MEMBERSHIP

"EATER $30" or "Student/Senior $15" *

Primary Phone / Secondary Phone *

We need your mailing address in order to send your
Eat Local & Organic Diner's Card (at the very least).

STREET *

CITY *

STATE *

ZIP CODE *

Leave this field unchanged if you wish to HELP US SAVE valuable resources and minimize postal mail expenses - otherwise, replace it with the word "NO" and we'll send future newsletters and other essential or seasonal communications by postal mail.

MAKE MY MEMBERSHIP ELECTRONIC

Your Full Name (for our Contact List) *

Personal Note:

Enter the characters shown in the graphic above. If you cannot read the code, click the little refresh button at the top-right of the graphic image. *