GLAA Membership Form

Membership/Contribution Form

Why you?

Because we need you! We needyour talents, your time, and your financial support. There's strength in numbers!

Why bother?

We can never allow elected officials to forget that we're here, that we pay taxes, that we care and that we vote.

GLAA's members...

are volunteers like you who want to be treated as equal citizens and won't settle for anything less. That's why we formed GLAA in 1971, and that's why we're still working today.

Thank you for supporting the work of the Gay and Lesbian Activists Alliance of Washington, DC. Please print this form, fill it out, and mail it with your contribution to our address above. We will send you our occasional newsletter and notification of upcoming GLAA events. You can submit payment on-line or by completing the form and mailing it in:

$25 Active Member | $50 Supporting Member | $100 Contributing Member
$200 Sustaining Member $10 Student/Low Income/Senior Member

Additional Donation:

Membership
Payment by: I have enclosed a check for: $____________ (make checks payable in U.S. Dollars to: GLAA)
Visa MasterCard

Name:
Address:
City: State: Zip:
Phone: Fax:
E-mail:
Credit card number (16 chars.):
Expiration (MM/YYYY): Cardholder signature:

Please send this form with your membership contribution to:
GLAA, Inc.
P.O. Box 75265
Washington, DC 20013-5265

Note: Due to GLAA's lobbying activities, contributions to GLAA are not tax-deductible.