OUTfront! Lesbian, Gay, Bisexual & Transgender Human Rights
Join OUTfront!
To Join AIUSA's OUTfront Network, simply print out this page and send it with your AIUSA membership dues to:
Amnesty International USA OUTfrontI would like to become a member of Amnesty International and OUTfront.
NLGCW
5 Penn Plaza 14th Floor
New York, NY 10001
Fax: (212) 627-1451
Enclosed are my membership dues:
___ $25 Individual ___ $15 Student / Senior / Limited Income
| ___ | I am currently a member of AIUSA and would like to become a member of OUTfront. |
| ___ | My AIUSA Student or Local Group would like to sign up for the OUTfront Network. |
| ___ | I would like to join the OUTfront e-action network. |
I understand that AIUSA depends on the generosity of members. I want to make an additonal contribution. For membership dues and a contribution combined, I am giving:
___ $50 ___ $75 ___ $100 ___ other
Please fill in the following: I want to give by:
___ Check (made payable to Amnesty International USA)
___ Visa
___ Mastercard
NLGCW
For more information about Amnesty International's work on behalf of lesbians, gay men, bisexuals and transgender people, contact Michael Heflin or Ariel Herrera at the National Office:
Amnesty International, 5 Penn Plaza 14th Floor, New York, NY, 10001
phone: (212) 807-8400
email: outfront@aiusa.org or through your Local Regional Offices.