HONOLULU GAY & LESBIAN CULTURAL FOUNDATION
A HAWAII NOT-FOR-PROFIT CORPORATION

2004 MEMBERSHIP FORM
To order HGLCF Memberships, print this form, complete and return with payment to:
HGLCF  ~  1877 KALAKAUA AVENUE  ~   HONOLULU, HI 96815-1526
Your Membership Card will be mailed to you.

HGLCF MEMBERSHIPS GUIDELINES
$200.00 ALI'I MEMBERSHIP Includes:
• All film screenings leading up to the 2004 Film Festival
• All film screenings during the 2004 Festival
• Admission to opening Festival night events and reception
• "Preferred" seating 15 minutes prior to general seating
• 2004 HGLCF membership. ( valid from January 1, 2004 through December 31, 2004 )
.
$100.00 ALOHA MEMBERSHIP Includes:
• All film screenings during the 2004 Festival
• Admission to opening Festival night events and reception
.
$50.00 MAHALO MEMBERSHIP Includes:
• All film screenings during the 2004 Festival
.
$25.00 HGLCF MEMBERSHIP Includes:
• Discounts to all film screenings & events.
( 2004 HGLCF membership valid from January 1, 2004 through December 31, 2004 )
.
Note: Membership passes are good for one individual per film or event.


Name____________________________________________________________
Address__________________________________________________________
City_________________________   State _______________  Zip ___________
Phone (Bus)______________ (Res)________________  E-mail ______________
Membership Type:    _____ALI'I    _____ALOHA     _____MAHALO    _____HGLCF Total # of Memberships: ____________
Total Enclosed:   $____________

Type of Credit Card (check one): _____VISA  _____MASTERCARD
Account Number:_________________________  Expiration Date: ____________
Name:_________________________ Signature:__________________________
  (Print name as it appears on your credit card)

Please return this form to the address listed above with your contribution. Make your check or money order payable to the "Honolulu Gay & Lesbian Cultural Foundation. Thank you for your support.

Mahalo for your continued support of the Honolulu Gay & Lesbian Cultural Foundation.
Luna Design form #HGLCF-2004-Membership (Revised:07FEB2004)