White Loves Matter
Member Application Form
Optimized for letter-size paper. Use Print → Save as PDF for a digital copy.
White Loves Matter
Member Application Form
Complete all fields, then mail with your registration fee to:
PO Box 114, Greencastle, PA 17225
Birth Name
Email Address
Used to link your application to your online profile
Age
City & State
Gender
Family Path
How many children do you want?
About You
Your values, background, and what you are looking for in a partner or co-parent
How did you hear about us?
Registration Fee — Cash Only
Include the exact amount in your envelope. No checks or money orders accepted.
Envelope Checklist
Signature
Date
Your information is kept private and never shared without your consent. · whitelovesmatter.com