Gay & Lesbian Rights Lobby

Membership Form 2012-2013
2012 - 2013 Memberships lapse on the eve of the 2013 AGM

Contact Details

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Middle Name:
Last Name: *
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Suburb: *
State: *
Postal Code: *
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Home Phone:
Work Phone:
Mobile:
Date of Birth: *
Occupation:

Privacy

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The GLRL is required to keep a register of members containing your name and address, which is available for inspection by members on request. This information can only be used to send members notices or information about the GLRL, its events or to comply with legal requirements. If you want the remainder of your personal information on the register to be kept confidential, please check the box below:

Please keep my personal information on the register of members confidential

Membership

As a non-profit organisation we rely heavily on the support of our members to help fund our campaigns and programs to empower and educate the NSW gay and lesbian community. Minimum membership fee is $40 ($15 concession) and we ask those with higher incomes to consider a higher fee.

Full Membership $100
$60
$40
$15 (concession)

Associate Membership $100 (Community Orgs.)
$300 (Business)

Donation

Donations to the NSW Gay and Lesbian Rights Lobby are not tax-deductible. The NSW GLRL is a political advocacy organisation, and as such does not qualify for deductible gift recipient (DGR) status, nor do we receive ongoing government funding. This ensures the independence of our campaigns and advocacy work.

Donation Amount: $

For privacy reasons, please do not acknowledge my donation in the GLRL Annual Report.

Total (membership + donation) $

Declaration

I hereby apply for membership of the Gay and Lesbian Rights Lobby (NSW) Inc. I support the objectives of the GLRL and agree to abide by them and by the GLRL constitution.