Peninsula Smokefree Partnership

Membership

Apply online, BY MAIL, OR BY FAX

Do you want to become a partner in creating a healthier community? Please join the Peninsula Smokefree Partnership in advocating for tobacco prevention, tobacco cessation and clean air.

Online Membership Application:

First Name:
Last Name:
Organization:
Position/Title:
Work Phone:
Secondary Phone:
Email:
Mailing Address:
City, State, Zip:
Please describe your involvement in tobacco prevention and education:

Membership Benefits

Your involvement with the Peninsula Smokefree Partnership will benefit you and your community in the following ways:

You will receive updates on current local and national tobacco prevention issues, important tobacco facts and action alerts.
You will receive a bi-annual e-newsletter on community issues and efforts.
You will be invited to attend an annual volunteer/member recognition event.
You will receive a free membership kit, which includes a membership card, Peninsula Smokefree Partnership “About Us” brochure, and a free gift as a thank-you for your involvement.
Volunteer opportunities for adults: participation in health fairs, Great American Smoke Out, Relay for Life, community advocacy.
Volunteer opportunities for teens: participation in health fairs, Great American Smoke Out, Relay For Life, teen advocacy, scholarships, membership in Teens Against Tobacco Use (TATU) – a peer education program.

Print Application

Download Application

Print Membership Application.pdf

Download and print our membership application in Adobe Acrobat PDF format. Mail or fax the application to:

Peninsula Smokefree Partnership
PO Box 1612
Soldotna, AK 99669
907-260-3682 (fax)

If you have additional questions, concerns, or comments, please contact us.

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