Gustavus Library AssociatesGift Membership Application Log in to save time on this form! Gift Membership The GLA membership year is twelve months from the date we receive your membership dues. Gift membership category Required Benefactor $1,000.00 Patron $500.00 Associate $250.00 Supporting $125.00 Acquisition $75.00 This category is determined by the average cost of one acquisition Contributing $45.00 Young Alum $30.00 Graduated in the last 10 years My gift will be matched by... Double your impact—see if your company matches gifts. Gift recipient's information Recipient's name Recipient's address Required Recipient's city Required State Zip Recipient's primary phone number Recipient's e-mail address Recipient's relationship to Gustavus Alumnus/Alumna Parent Friend College Staff Faculty Student Your information First name Required Last name Required Maiden name Class year Spouse's first name Spouse's last name Spouse's maiden name Spouse's class year Address Line 1 Required Address Line 2 City Required State Required Zip Required This is my new address, please update your records. Phone number Required E-mail address Required Submit You will be charged .