NWGSD Membership Form

NWGSD Membership Application
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
E-mail*
example@example.Addresscom
Phone*
Check here if you are completing this form at a NWGSD event and are receiving your card now.
Membership level*
prevnext( X )
SUPER NASTY! (Lifetime membership)$50.00

Nasty Woman (2020 membership)$20.00

Nasty Student/Senior/Military/Veteran$5.00

GIFT a Lifetime Membership (NWGSD will award this membership. If you wish to gift a membership to someone you know, please fill out the form in their name.)$50.00

Donate $10 to NWGSD Membership Fund$10.00

Donate $20 to NWGSD Membership Fund$20.00

Total $0.00
With membership, you’ll be able to:
- Support NWGSD’s work and community donations
- Carry a real membership card saying you are a Nasty Woman (as if there were any doubt!)
- Vote for board members
- Vote on key organization decisions
- Receive members-only communications and meetings
- Contribute directly to Nasty Women Oregon PAC to support Oregon candidates and ballot measures
- Receive advanced previews and opportunities to purchase special merchandise

Nasty Women Get Shit Done is a 501c4 organization. Membership dues are not tax deductible. Up to 100% of dues may be used for political activities.
Your Name (Gift Giver)
Type recipient name above
Gift Message
Should be Empty:

NWGSD Membership Application