Please print out the form below and use it to send us your membership information. We will get back with you immediately. (NOTE: This is NOT an electronic form; you must print it and then mail it. Sorry!)
Gay Lesbian Straight Education Network
Metro Washington, DC, Chapter
P.O Box 363
Cabin John, MD 20818
(202) 293-3358
| Yes! I want to join GLSEN/DC! | ||
| (Remember, your GLSEN National membership is included in this amount) | ||
| ___ Enclosed is my $35 membership | Contribution $____ | TOTAL:_____ |
| Name:_____________________ | School/Affiliation:_______________ |
| Address: _____________________ | Email:________________ |
| _____________________ |
| Phones: | ||
| (H)________________ | (W)________________ | FAX:_______________ |
| Please contact me. I am interested in working on: | ||
| ____ Advocacy | ____ Development | ____ Programming |
| ____ Newsletter | ____ Publicity/Outreach | ____ Speakers Bureau |
| ____ Website Development | ____ Organizational Liaison | ____ Plan a Chapter Meeting |
If you have any questions, contact our WebSpinner at: TenorOne@cheerful.com.