SIGN ME UP AS A MEMBER OF GPCA

Please print clearly

NAME(s)______________________________________________________________

STREET ADDRESS___________________________________Apt. #______________

EMAIL ADDRESS____________________________________Phone______________

$20  [   ]  Single membership
$35  [   ]  Double membership (two people, same address)
$15  [   ]  Senior
$20  [   ]  Non-voting former or absentee resident
$75  [   ]  Non-voting business membership


Send your check made payable to GPCA to:

GPCA
P.O. Box 32268
Washington, DC 20007



GPCA accepts donations.
$_____  [   ]  Donation