testingpage –contact-form-7 id=”770″ title=”TESTINGFORM”– Membership Level * Family Membership One year membership $30 $100 $150 $500 Family Membership Plus One year membership + totebag Family Membership Extra One year membership + totebag + childcare* at educational programs Family Membership Premium One year membership + totebag + childcare* at educational programs + 4 tickets to annual picnic * childcare included for up to 2 children. Contact Information Member 1 First Name* Last Name* Primary Phone (###-###-####)* Email Address* Member 2 First Name Last Name Primary Phone (###-###-####) Email Address Note: Most invitations from AFH are sent via e-mail. Please make sure to include an e-mail you check regularly. Address * Address 2 City * State * ALAKAZARCACOCTDEFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY Zip Code * Name(s) of Child(ren)One per line. Age(s) of Child(ren) Check all that apply. 0-2 3-5 6-8 9-12 13+ A member directory is printed every summer and distributed to members in the fall. May we include your contact information above to fellow members? Yes No To be invited to join the Adoptive Families of Houston Private Facebook Group, please include e-mail address(es) used for Facebook: Member 1 Email Address used for Facebook Member 2 Email Address used for Facebook In order to plan programs/events relevant to the group, please answer the following: Was your adoption: Domestic International Did you adopt through: An Agency A Lawyer CPS Did you adopt: An Infant An Older Child (2 years or older) Was your adoption: Transracial Same Race Some suggestions for future program/event topics: Would you like to serve on an AFH committee? Hospitality (Bringing food or drinks for events) Programs (Planning speaker events) Annual Picnic Marketing Play Groups Some special talents/educational background/other that you could share with the group are: Please enter the letters/numbers in the field below before submitting You will be directed to PayPal after submitting this form to complete payment information. Adoptive Families of Houston reserves the right to use and post pictures from AFH sanctioned events and programs.