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Home » Membership » Online Membership Application

Membership Application for Organizations and Individuals

Step 1 of 2

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Name(Required)
Address(Required)
I am(Required)
Organization Type(Required)
Organization Budget(Required)
School District Size(Required)
Payment Method
MasterCard
Visa
Supported Credit Cards: MasterCard, Visa
 
As an Individual, please check all of the following that apply:
Interest areas:

As an Organization, please check all of the following that apply:

Type of Organization (check all that apply):
We serve youth & adults of the following ages (check all that apply):
Types of services/programs your organization provides (check all that apply):
Interests in training & technical assistance: (Check all that apply. We will be glad to follow up with you to talk about your current or future needs.)
This field is for validation purposes and should be left unchanged.

P.O. Box 692 Marquette, MI 49855 • (906) 228-8919 • info@glcyd.org

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