Please complete the following information. For your convenience, you can pay for your Membership Dues via our secure PayPal portal. After you submit this application, you will be automatically redirected to PayPal for payment processing.
Select your Membership Level
Family Membership - 3 adults
Non-member email subscription to the LGBT News
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3rd name (for Family)
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Birth Month/Day (optional) Please indicate the month and day (only) if you wish to receive a birthday greeting from UGLA.
May we use your last name(s) in UGLA publications?
Yes, you may use my/our last name(s) in UGLA publications
Please do not use my/our last name(s) in UGLA publications.
How would like to receive the UGLA Newsletter?
I would like to receive the UGLA Newsletter via email.
I would like to receive the UGLA Newsletter via snail mail.
You may publish the following information in a directory distributed to members only:
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I would like to apply for a Scholarship Membership
I would like to volunteer. Please contact me.
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