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    * Publish in Directory?
* Contact Name:      
  Business/Group Name:
  please spell out all acronyms
* Email:
  will not published unless indicated
Paypal Email: will not publish
   If you are using PayPal, please let us know which account name you are using so that we can link your order and your payment.
*  Phone Numbers:
  Format: ###-###-####
        
        
        
  Website URL:  if applicable
* Mailing Address Information  
          Address:
  
          City:              State/Prov.: 
          Zip/Postal Code:             Country:   
 
Is the mailing address the same as the physical address?  Yes  No
 
* Physical Address Information  
          Address:
  
          City:              State/Prov.: 
          Zip/Postal Code:             Country:   
 
* Please read and check the box below before continuing:
“Our organization/business/group supports the goals of the Albuquerque GLBT Pride Organization to celebrate the civil rights of all gay, lesbian, bisexual and transgender people in New Mexico. We agree to abide by all Parade and Pridefest requirements. Additionally, Pride has our permission to use photos, interviews and film from the event featuring our organization/business/group for historical or educational purposes.”
    I Agree
 
 
Note: As stated in our privacy policy, Albuquerque Pride will not sell or rent your personal information.