Gay, Lesbian and Affirming Disciples Alliance, Inc.

Use this form to

register for the Aug 2008 GLAD Event
become a member
renew your membership
contribute to GLAD Alliance

Once you fill out the form, click the PayPal logo below and complete your transaction with PayPal.

GLAD Event Registration
Names	Full Name(s) of Person(s) Registering:
Housing
Meals	Check here if you prefer vegetarian meals.
Accessibility	Check here if you require accessible housing.

Free Time Options	As we plan the weekend, let us know how you might prefer to spend some free time:
Please contribute generously to the Chuck Carpenter Fund below to enable GLAD to provide scholarship assistance to students, seminarians, and low income members.

GLAD Membership Contribution

Over and Above Contribution (Supports the general mission of GLAD Alliance)
	$

Contribution to the Chuck Carpenter Leadership Development Fund (Supports participation by students, seminarians and low income persons in GLAD Alliance activities)
	$

Name	First Last
Partner's Name
Congregation
Address
Address 2
City	State Zip
Phone
E-Mail

Total	$

Press the PayPal button to complete this transaction via PayPal. Once on PayPal, be sure to indicate your "Shipping Address" so we can acknowledge your contribution.

GLAD Alliance Inc.
P.O. Box 44400
Indianapolis, IN 46244-0400

glad@gladalliance.org

Gay, Lesbian and Affirming Disciples Alliance, Inc.

Memberships and Contributions