Gay, Lesbian and Affirming Disciples Alliance, Inc.
 |
GLAD Alliance Membership Covenant |
You can make your membership donation on-line via PayPal.
Print this page, fill out the form and mail to the address below.
| NAME(s) |  |
| ADDRESS | |
| City/State/Zip | |
| Telephone | |
|
|
| Amount Enclosed: | |
| Membership Contribution - Please check one below. | |
| |
$80 Couples Membership |
| |
$45 Individual Membership |
| |
$15 Low Income/Student Membership |
| * May be made on behalf of two persons. | |
| Additional Support | |
| $ |
Contribution to Chuck Carpenter Leadership Fund (to assist potential leaders in attending GLAD events) |
| Your check or money order payable to "GLAD Alliance" will be endorsed in the
same manner to preserve confidentiality. Mail to: GLAD Alliance |
| GLAD Alliance is a not-for-profit organization. Your contribution is tax deductible. |
 Our mailing
list is confidential. |
| GLAD Alliance Inc. P.O. Box 44400 Indianapolis, IN 46244-0400 |
glad@gladalliance.org | You can contribute to GLAD via PayPal |