Preferred Gender  Name ..............
Address .....................................
City ...........................................
State .........................................
Zip Code ....................................
Date Of Birth ...............................
Drivers License Number ...............
Social Security Number ................
Strictly a Voluntary Entry
Area Code and Phone Number ......
In Case of Emergency Contact ......
Relation to Member .......................
Emergency Contact Phone Number
Renaissance of South Eastern Pennsylvania (ROSE)
A Premier Transgender Support and Educational Organization
Chapters in York, Pa and Lancaster, Pa
Contact  ... 717-332-1247 or 717- 413- 1275
E-mail .... RenaissanceSEPa@aol.com
Web site ... WWW.RenaissanceSEP.org
Please fill out the information below that you would like to have on your Transgender Community ID Card.  Transgender ID Cards should be used in conjunction with your Drivers License if stopped when identifying as your preferred Gender. If you do not have your Drivers License with you at the time you are stopped or are in a accident or emergency, the information on the ID card will help identify you and help to contact your emergency contact if needed.

When submitting your ID Card Information please copy and paste a picture of yourself in your preferred Gender in a
E-mail that you would want on your ID Card. In that e-mail please list your preferred Gender name so I can match your ID Card information to your name. Please send your picture to the following e-mail address ,
....... renaissancesepa@aol.com .....  You will be notified when your ID Card information and picture have been received.

Renaissance of South Eastern Pennsylvania(ROSE) will be on the top of the Transgender Community ID Card for the Members of ROSE.

If you are not a member of ROSE and do not wish to have the Renaissance of South Eastern Pennsylvania(ROSE) on the top of your ID Card ..... Transgender Community ID Card ... will replace it to identify what type of ID Card you have.
Please specify on your Transgender Community ID Card application which you would want on your ID Card. If there is not a specification as to how you want your ID Card to read at the top then the Renaissance name will be on the top of your ID Card automatically. Once this happens the card is not replaceable, so please specify.

There is a small fee for the Transgender ID Card of $5.00 ... This helps pay for the INK and the Cards use to print the ID information on and for the hour it takes to make, print, securely save information and to mail or deliver the ID card and of course we can't forget Uncle Sams Tax of  6% which is separate from the cost of the Card, sorry, not my idea ...

When the ID Card is finished it can be mailed to you ... or ... If you live close to York, Pa you can pick it up or meet somewhere to recieve your ID Card. All ID Cards are to be paid for in advance before the ID Card is made. Please check and double check all you information to make sure it is the way you want it on your card. Money is non refundable due to card and ink usage to make your ID Card. If I make a mistake on your card then I will replace your card free of charge. All ID Cards will be Laminated and Business Card size so they fit into your wallet or purse.
( See Sample ID Card at bottom of this page )

Payment details for the ID Card...

All information sent to use for your ID card is deleted after you ID Card has been made. All information is confidential and safe with the ROSE Transgender Support and Educational Organiazation.
Transgender Community ID Card Information form
If you have any questions, need more information or help about the ID Card or have suggestions please list them in the list box to the right ...
Transgender Community ID Card Application
There is a part of the Transgender Community ID Card that indicates your status in the Transgender community. Please select how you want your status to read on your ID Card from the list below. If you would like to use one of the below Status Descriptions below please type it in the box below

If you do not see any thing below that you would want on your ID Card to identify your status please type the description in the box below that you would want on your ID Card. 

Samples of how you Identify in the Transgender Community

1.)    Male to Female Crossdresser
2.)    Crossdresser Living full time as Female
3.)    Male to Female Transsexual
4.)    Male to Female Pre Op Transsexual
5.)    Male to Female Post Op Transsexual
6.)    Transsexual Living Full Time as Female
7.)    Transsexual Living Part Time as Female
8.)    Transitioning Pre Op Male to Female
9.)    Transitioning Pre Op Male to Female Transsexual
10.)    If none of the above please indicate how
       you would want this part to read on your ID Card

Transgender Community ID Card
Sample Transgender ID Card
Renaissance of South Eastern Pennsylvania, (ROSE)
A Premeir NON Profit Transgender Support and Educational Organization
A Transgender Community Service Offer
PayPal Payment Directions

1.) When paying for your ID Card using PayPal click on the Buy Now button at the bottom of the application page.
2.) You will have to send me your Birth Gender name in a e-mail along with your Transgender name so I can 
    match up your Payment to your Transgender name and ID Card Information so I can make your ID Card.
3.) If you do not let me know your Birth Gender name I cannot make the ID Card for you not knowing what your
   Transgender name is and your Payment will be returned.
   Paying using PayPal you will need to use your Birth Gender name which is on your Credit Card, Debit Card or Bank Payment.
4.) Unless of course you already have a account and credit cards with your preferred Gender name on them.
5.) Send your Birth Gender name and Transgender name in a e-mail to ..... RenaissanceSEPa@aol.com ...
6.) Make the subject of your e-mail ... ID Card Information, PayPal payment Notice ....
7.) You will be notified when your e-mail has been received
8.) You will be notified when your ID Card is finished and in the Mail to you, or ready to be pick up.
9.) Below is very important to protect your Born Gender Identification ....
    Please Provide a return address that the ID Card is to be mailed to or it will be mailed to the address on the ID Card
10.) Please supply your e-mail address for contact purposes...
11.) Please Note: ..... sorry ... I am not set up to accept credit cards as of yet .... Please use payment methods below for now.
Paying for your ID Card by sending a Money Order or Cashiers Check. (Best Way if not  local)

1.)  Make Cashiers Checks or Money Orders out to .... Renaissance of South Eastern Pennsylvania
2.)  In a envelope place your ...
    a.) Cashiers Check or Money Order for $5.30
    b.) Your ID Card information from the ID Card Application
    c.) A Photo of yourself in your preferrred Gender that you would like on your ID Card,

3.) Your photo will be returned to you in the envelope containing your ID Card.
4.) Address and mail the envelope to
               ID Card
               243 Harding Court
               York, Pennsylvania
               17403
5.) You will be notified when your envelope as been delivered ...
6.) You will be notified when your ID Card is finished and in the Mail back to you, or ready to be pick up.
7.) Below is very important to protect your Born Gender Identification ....
    Please Provide a return address that the ID Card is to be mailed to or it will be mailed to the address on the ID Card
8.) Please provide your e-mail address so I can notify you when your ID Card is finished and your envelope is delviered 
Please enter your e-mail address
Paying for your ID Card by local appointment ... In and around York, Pa.

1.)  If you would like to pay for your ID Card by meeting me personally at a specific location send me a e-mail with your phone
     number in it so we can make arrangements to meet to discuss your ID Card and payment.
2.) Please send your e-mail with your phone number in it to .... RenaissanceSEPa@aol.com ....
3.) Please make the subject of your e-mail Local Payment for ID Card .....
4.) We can discuss delivery arrangement when we meet or by Phone.

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