LI Gay and Lesbian Film Festival Membership Form

PLEASE PRINT AN MAIL IN

Yes, I have / We wish to support the LIGLFF by becoming a member in the following category;

Basic   Basic joint    Supporter  Supporter/Family

Friends  Friends Joint  Sustaining      Sustaining Joint

Name _________________________________  
Phone ______________________  Email ______________

Address: ___________________________
City:__________________ State:_____ Zip: ____________

Enclosed  is my check payable to the Long Island Gay and Lesbian Film Festival

All memberships are valid for one year from their  date of enrollment.

Basic $35.00 | Joint Basic Family ($60.00)
Supporter $85.00 | Supporting Joint Family ($135.00)
Friends   $175.00 | Friend Joint Family ($275.00)
Sustaining  $300.00 | Friend Joint Family ($400.00)
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PLEASE PRINT AN MAIL IN

Please send your check and this form to:
LIGLFF,
PO Box 1477,
Melville, NY 11747