Gay, Lesbian and Affirming Disciples Alliance, Inc.



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Gay, Lesbian and Affirming Disciples Alliance, Inc.


To become a member, renew your membership or contribute to GLAD Alliance with a credit card via PayPal, please complete the following and click on the PayPal logo below.


Membership Contribution

Please contribute to the 2004 Over and Above campaign.

Other Contribution $

Contribution to the Chuck Carpenter Leadership Development Fund
$

Name First      Last  
Partner's Name   
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