Last Updated: 08/15/07
NELA Associate Application
Want to become more involved with the New England Leather Alliance?
Make a $20 donation to NELA for an Associates Benefits Card (ABC)!
PLEASE MAKE YOUR CHECK OR MONEY ORDER IN U.S. FUNDS PAYABLE TO: "NELA"
Please print a hard copy of this page. When filling out the form, please print legibly.
Mailing Name: ____________________________________________
Address: ____________________________________________
City: _____________________ State: _____ Zip: ____________
E-mail: _______________________________ Phone (optional): (_____) ___________________
Name as it should appear on your card:________________________________
DEMOGRAPHIC INFORMATION (Optional)
Age: ___ 18-29 ___30-39 ___40-49 ___50-59 ___60+
Gender: ___Male ___Female ___Transgender ___Other
Orientation: ___Bisexual ___Gay/Lesbian ___Heterosexual ___Pansexual
Check off any appropriate statements:
___ I would like to help with the Fetish Fair Fleamarket
___ I would like to help with the Scarlet Leather
___ I would like to work on education and outreach to the non kinky community
___ I would like to work on internal outreach to fellow kinksters
___ I would like to present my expertise at a demonstration/class. (Please enclose details with this application).
Please mail completed form (plus check or money order):
NELA
P.O. Box 35728
Brighton, MA 02135