NFDI Membership Application Form

NFDI Membership Application Form

Please send this form with your payment to the address at the bottom of the form.

Name(s):

Address:

City:      State      9-digit ZIP:

E-mail:     Phone number:

Birthdate (Junior members only):     Club Affiliation:

This membership is: (Circle one)      New      Renewal

Deliver the newsletter via: (Circle one)      Mail      Email

Membership type (check one):

( ) Club membership $25.00

( ) Adult member (18 & over) $20.00

( ) Jr. members (17 & under) $10.00

( ) Household (2 adults/same address) $25.00

( ) Family (1 or 2 adults + children) $25.00

( ) Gold card members (postage only) $ 5.00

Gold cards are awarded by the NFDI board only

( ) Foreign countries (including Canada)
Subscribers who agree to receive the newsletter via email pay U.S. rates $35.00



Subscriptions may be paid for multiple years at one time.

Please indicate for how many years you are subscribing.           ______________

( ) Donation to NFDI - General Fund (May be tax deductible)                $______________

( ) Donation to the NFDI Youth Fund (May be tax deductible)                $______________

   Total enclosed  $______________

( ) Gift subscription: From _______________________________________

I understand that $15 of my membership fee applies to a subscription to THE NORTHWEST FOLKDANCER magazine.

Signature:   (required)

All Canadian and foreign cheques must be payable in U.S. funds. Memberships are valid for one year from the date you join. Please include a self-addressed, stamped envelope so that we can mail your membership card(s). Make checks payable to NFDI.



Mail completed applications with payment to:

Northwest Folkdancer, Inc., c/o Linda Caspermeyer, 8415 - 5th Avenue NE, #205, Seattle, WA 98115-4165

Please send this form with your payment to the address at the bottom of the form.
Name(s):
Address:
City: State 9-digit ZIP:
E-mail: Phone number:
Birthdate (Junior members only): Club Affiliation:
This membership is: (Circle one) New Renewal
Deliver the newsletter via: (Circle one) Mail Email

Membership type (check one):
( )	Club membership	$25.00
( )	Adult member (18 & over)	$20.00
( )	Jr. members (17 & under)	$10.00
( )	Household (2 adults/same address)	$25.00
( )	Family (1 or 2 adults + children)	$25.00
( )	Gold card members (postage only)	$ 5.00
	Gold cards are awarded by the NFDI board only
( )	Foreign countries (including Canada) Subscribers who agree to receive the newsletter via email pay U.S. rates	$35.00

Subscriptions may be paid for multiple years at one time.
Please indicate for how many years you are subscribing. ______________

( )	Donation to NFDI - General Fund (May be tax deductible) $______________
( )	Donation to the NFDI Youth Fund (May be tax deductible) $______________
	Total enclosed $______________
( )	Gift subscription: From _______________________________________


I understand that $15 of my membership fee applies to a subscription to THE NORTHWEST FOLKDANCER magazine.
Signature: (required)
All Canadian and foreign cheques must be payable in U.S. funds. Memberships are valid for one year from the date you join. Please include a self-addressed, stamped envelope so that we can mail your membership card(s). Make checks payable to NFDI.

Mail completed applications with payment to:
Northwest Folkdancer, Inc., c/o Linda Caspermeyer, 8415 - 5th Avenue NE, #205, Seattle, WA 98115-4165