Become a DignityUSA Member or Donor

Empower the Voice: Be a Member and Join Today!

Your membership provides the financial support DignityUSA needs to empower the Voice that advocates on behalf of GLBT Catholics, and to continue to educate the Church about the work of God in our lives.

See our list of benefits associated with each Membership giving level…

I wish to make a gift to DignityUSA:

$ to be paid now

Additionally, I wish to make future monthly support gifts to DignityUSA at the following amount:

$ per month

I would like to make this gift in honor/memory of a friend or special occasion as noted:

Donate to a DignityUSA Chapter

If you designate a chapter and annually donate more than $50 ($100 couple) to DignityUSA, we will forward $10 ($20 couple) as Chapter Support in your name to that chapter. Review list of local DignityUSA chapters… (Note: You will be given an opportunity to designate a chapter when you get to the Personal Information section of this form.)

I wish to make an additional local chapter support gift:

$ to be paid now

Additionally, I wish to make future monthly local chapter support gifts:

$ per month

DignityUSA gratefully acknowledges financial contributions in our publications.

Please note here you would like your name(s) to be listed:
or Please check here if you wish to remain anonymous.

Gift amount being paid now:

Check enclosed payable to DignityUSA
(Please print and mail this form to DignityUSA, PO Box 376, Medford, MA 02155.)

Credit Card

Future gift amount to be paid per month:

Send monthly e-mail reminder

Credit Card

-- If changing contact information, please enter old information in comments field.

Person #1

Person #2
(for couples/families residing at same address)

Name:*

First:

Last:

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Last:

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Street Address 2:

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Country:*

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Sign me up for e-mail communication.

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Home Phone:

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Optional:
Gender:

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How did you hear about DignityUSA?
(check all that apply)

Additional Comments:
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Designate a Local DignityUSA Chapter

You may designate a local DignityUSA Chapter that you wish to join (or renew your membership): DignityUSA will forward your information to this chapter so they may contact you about their membership. (If you elected to make a chapter donation at this time, your donation will be directed to this chapter.)

Optional:
Current members may change local DignityUSA Chapter affiliation here. As applicable, DignityUSA will forward your information to this chapter, so they may contact you about their membership.

Everyone becomes a full national member of DignityUSA.
You may opt out of voting membership (what this means…).
I/we wish to opt out of voting membership and be a donor/friend only.
I/we also wish to opt out of receiving any DignityUSA mailings.

From time to time, DignityUSA shares our mailing list with collaborating organizations.
Check here if you do not wish your name to be shared.