Gay, Lesbian and Affirming Disciples Alliance, Inc.



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GLAD Alliance Membership Covenant

YES! I want to support the ministries of GLAD Alliance, Inc. by becoming a member.

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 
E-Mail
Amount Enclosed:
Membership Contribution - Please check one below.
   $1,000* Pink Triangle Member ( $500 bi-annually / $250 quarterly)
  $500* Rainbow Member ($250 semi-annually / $125 quarterly)
  $250* St. Andrew's Cross Member ($125 semi-annually / $62.50 quarterly)
  $100* Red Chalice Member ($50 semi-annually / $25 quarterly)
  $60 Couples Membership
  $35 Individual Membership
  $15 Low Income/Student Membership
* May be made on behalf of two persons.
Payment options:
   check enclosed    semi-annual reminder    quarterly reminders
Additional Support
$  Contribution to Chuck Carpenter Leadership Fund (to assist potential leaders in attending GLAD events)
$  Contribution to Endowment Fund (to sustain the future work of GLAD)
$  Contribution to Allen Harris Endowment Fund (to sustain the future work of Open & Affirming Ministries)
Your check or money order payable to "GLAD Alliance" will be endorsed in the same manner to preserve confidentiality.

Mail to:

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

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