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Member Name:

Spouse Name:

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One Time Dues:
RenewalNew Member

Single - $15.00Couple - $25.00
Additional member(s) - $10.00:

Newsletter and Mailing Lists:
GLASC offers its members the monthly newsletter by email. It is presented in full color and features easy hyperlinks for members to check the web for related info, find driving directions to events and weekly dinners, and quickly and easily RSVP to GLASC events. The e-newsletter requires a valid email address and Adobe Acrobat Reader (available free from

Please send me GLASC's Monthly Full-color Newsletter by emailNo Thanks.

Please add me to the ANNOUNCEMENTS email list. This will keep me informed of important event informationNo Thanks

Please add me to the REMINDERS email list. This will inform me once a year about membership renewalNo Thanks.

Member's Email Address:

Spouse's Email Address:

Please send me GLASC's Monthly Newsletter by regular Postal Mail


Print and mail form with payment


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