The GREAT LAKES CONGRESS, Inc.
GLC Membership Application Form

What are the GLC Inc. membership dues? Individual membership fees are $35.00 a year, youth membership fees are $15.00 a year, and membership discounts are offered for multiple members within a single household. GLC membership is based on one calendar year, from January 1 to December 31.

Adult membership fees are $35.00 a year.

Youth (under 18 yrs) membership fees are $15.00 a year.

Family discount of more than two (2) people in the same household, a discount is as follows:
- $35.00 for first adult member, $20.00 for second adult member, $10.00 for each additional member (regardless of age).
- If there is only one adult member, $35.00 for adult member, $15.00 for first youth member, $10.00 for each additional member.
- If there are no adult members, $15.00 for first youth member, $15.00 for second youth member, $10.00 for each additional member.

Please make checks payable to Great Lakes Congress, Inc. and send to our Treasurer:
Great Lakes Congress, Inc.
12172 S. Rt. 47, Suite 204
Huntley, IL 60142

Paypal addy: greatlakescongressinc@yahoo.com
ph: (224) 569-3795
fx: (224) 569-3796

If paying via Paypal, the Paypal address is: greatlakescongressinc@yahoo.com.

Full Name *
Address *
City *
State *
Zip *
E-mail Address: *
Email *
Membership Type *
Adult Membership- $35
Youth Membership - $15
Family Discount (Refer to above info for fees)
2nd member full name
3rd member full name
4th member full name
5th member full name
Payment Total
Payment method Paypal
Personal Check
M.O./Cashiers Check
Additional Comments
* Required