Gay Activist Alliance in Morris County Membership Application Name(s): ________________________________________________________________________________________ Mailing Address: ______________________________________________________ Apt. _______________________ City: ___________________________________________________ State: __________ Zip: ____________________ Phone: (_______) _______ ‐ _____________ Email: _______________________________________________
BASIC DATA
CHALLENGE
Please circle Yes or No for each question.
As a member, you may choose to receive GAAMC’s newsletter, CHALLENGE, via First Class Mail or we can email a link to read it online.
Are you over 18?
Yes
No
Can we send mail to this address?
Yes
No
I would like to receive CHALLENGE in the mail:
_____
Do you want GAAMC news via email?
Yes
No
I would like emails about CHALLENGE online:
_____
Is this membership a renewal?
Yes
No
Send me info about advertising in CHALLENGE:
_____
Meetings every Monday @ 6:30 PM
Indicate your membership type and
Please select:
Free Classified Ads in Each Challenge
term by circling the price on this list.
1 Year or 2 Years
6 to 10 Socials per Year
Single Membership
$40
$80
Couple’s Membership
$70
$140
Guest Speakers
Single Student or Senior Membership
$30
$60
Free Concerts
Student or Senior Couple’s Membership
$60
$120
Movie Nights
Subscription to Challenge only
$25
$50
Tax‐deductible donation to GAAMC
$ ___________
Talent Shows...Starring YOU? Social Activism
Annual Pride Guide Educational Programs
Total charges:
$ ___________
Payment Details: Cash (when applying in person) $ _________________ Check Number: ________________ Credit Card or Electronic Funds Transfer via this email address: ____________________________________________
GAAMC, P.O. Box 137, Convent Station, NJ 07961‐0137 If paying by Credit Card, you may also send an email to Memberships@GAAMC.org GAAMC is an IRS Section 501(c)(3) not‐for‐profit corporation, supporting the GLBTIQ community since 1972.