Massachusetts Transgender Political Coalition
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Transgender Civil Rights Coalition Partners

Membership Form

Downloadable forms:
[PDF] [Word (.doc)]

You may fax, email, or postal mail your completed form to us:
email: gscott@masstpc.org fax: (801) 937-0219
postal mail:
Massachusetts Transgender Political Coalition
PO Box 301897, Jamaica Plain, MA 02130

Please indicate what your organization can commit to:

(check all that apply)

Put up information and link MTPC to your website
Send out action alerts to your members/list serves
Write a letter of support to send to legislators
Attend a Community Meeting/lobbying workshop
Co-sponsor a Community Meeting/lobbying workshop
Testify or send written testimony for the public hearing in the spring
Participate in a lobby day
Educate legislators through phone calls and/or in person meetings
Monetary donation
Amount:
In-Kind donation
Type:

Organization Name:
Contact Person:
Street Address:
City/Town:
State:	Zip:
Email:
Phone:
Website:

Comments:

Thank you for your support. If you have any questions, please email gscott@masstpc.org or call 617-983-0219. An MTPC member will be in touch with you shortly to provide your organization with all the necessary information.