Join the Alliance!!!

Join us and become a part of this historic Alliance! Your contributionof time or money will help us continue to fight for Gay, Lesbian, Bisexualand Transgender Civil Rights. Print out, fill out and send in the form below to join!

Send the form to:

LGBTPAWM, P.O. Box 1244, Northampton, MA 01061.

Name ______________________________________

Address ____________________________________

___________________________________________

City _______________________________________

State, Zip ___________________________________

Phone ______________________________________

EMail ______________________________________

_____ YES! Sign me up to be a member. My check for $25, made outto LGBTPAWM, is enclosed ($25 is our suggested membership donation; paymore if you can, less if you can't). I understand that my donationis not tax deductible because LGBTPAWM is a Political Action Committee registeredin the Commonwealth of Massachusetts.

_____ YES! Here's my contribution to help with the fight for Lesbian, Gay, Bisexualand Transgender civil rights.