Membership Forms
Please choose one of the following options to join the Coalition.
If you have difficulty filling out the form, please contact us.
Individual Membership
Join Now - Annual Membership $25
Organization or Agency Membership
Join Now - Annual Membership $50
Survivor/Senior/Student Membership
Join Now - Annual Membership $10

24 Hour Domestic Violence Hotlines
For Help in Erie County
(716) 884-6000
(716) 862-HELP (4357)
For Help outside of Erie County
National Hotline:
1-800-799-SAFE (7233)
New York State Hotline:
1-800-942-6906


