GAY THERAPIST FINDER

 

GAY ● LESBIAN ● INTERNATIONAL ● THERAPIST ● SEARCH ● ENGINE

 

 

Sponsorship


 

GLITSE.com

530 Via De La Valle, Suite D

Solana Beach, CA 92075

glitse@gmail.com

 

 

 

Yes, I want to become a sponsor of GLITSE and support your efforts to promote the education and advocacy towards Gay and Lesbian rights. Remember, every contribution helps!

 

 

Please print this form and mail or email it to the address listed above. Thank you.

 

 

Individual/group donation: $__________

Name: _____________________________________________________

Address:____________________________________________________

City: _______________________________________________________

State:______________________________________________________

Zip:________________________________________________________

Daytime Phone number: _______________________________________

Evening phone number: (optional)________________________________

Email: (optional)______________________________________________

Please charge my Visa/MasterCard:

Account number: _____________________________________________

Expiration Date: ______________________________________________

Billing Name: ________________________________________________

Billing address: ______________________________________________

Amount to be charged: ________________________________________

Signature: __________________________________________________

 

_____My check is enclosed. Made payable to The GLITSE.com.  We are not a non profit organization.  Your donation would not be tax-deductible.

 

Thank you for your support.............

 

Home