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.
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Student Membership
$
15.00
Individual Membership
$
35.00
Couples Membership
$
50.00
Family Membership - 3 adults
$
65.00
Business Membership
$
50.00
Non-member email subscription to the LGBT News
$
10.00
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2nd person (for Couples)
3rd name (for Family)
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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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