Do you know an individual or family who would benefit from having a YMCA membership? Maybe they're having financial struggles, medical issues, or their family has just gone through a tough year...give them a place to belong.

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* 1. Nominator Contact Info (You)

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* 2. Are you currently a member of the YMCA?

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* 3. Nominee Contact Info (Who you are nominating)

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* 4. Are they currently a member of the YMCA

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* 5. Why do you believe they should be eligible for a Pay It Forward membership?

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