GLAD Membership and Contributions



GLAD Membership Contribution
Over and Above Contribution
(Supports the general mission of GLAD Alliance)
$
Contribution to the Chuck Carpenter Leadership Development Fund
(Supports participation by students, seminarians and low income persons in GLAD Alliance activities)
$
Name First      Last  
Partner's Name   
Congregation
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.