GLEA of Salt Lake County Membership

Membership:
Membership in GLEA is open to all current or retired bisexual, gay, lesbian or
other interested employees of Salt Lake County.

Membership Form
(Please print out and mail to
the address at bottom of form)

Yes! I want to be a part of the Gay, Lesbian and Bisexual Employees Association of Salt Lake County Government.

_______	I will be at the next meeting.
_______	I've included my contribution to GLEA for the amount of $________.
_______	I want to be a GLEA volunteer.
_______	Please include my office in "Where We Are" ______________________________

___ Mr. ____Ms. _____Dr.

Name:__________________________________________

Address:________________________________________

_______________________________________________

City:___________________________________________

State/ZIP Code: _______________/__________________

Telephone (Day):_________________________________

Telephone (Evening):______________________________

Mail your completed form, or send it through your County Courier to:

Jan Donchess
Salt Lake County Parks and Rec.
East County District
East Millcreek Recreation Center
2230 East Evergreen Ave.
Salt Lake City, Utah 84109

Conduct:
Members, guests and participants in group activities mush behave in a professional manner that is consistent with the values, practices and policies of Salt Lake County government.

Operations:
Approval for work time meetings and activities will be in accordance with the Salt Lake County policies and procedures for employee associations.