Online Membership Form

Please check one:
New MemberAnnual Renewal

Membership Level:
—Please choose an option—Individual - $30Family - $40Lifetime (Individual or Couple) - $500

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Middle Initial:

Last Name:

Address:

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—Please choose an option—AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

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Family Member Information
This section only needs to be completed if you are joining or renewing with the Family Membership.
First Name:

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Last Name:

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Membership Information
Optional Donation Amount: $0$5$10$15$20$25Other:

Our society depends on volunteers for board members, committee members, and for the performance of many tasks, some small and some large. Everyone has abilities and skills. Are you willing to volunteer a little time if asked? If so, in what areas?:

Terms and Conditions
The membership year runs from January to December. Renewals or new memberships paid after October 1 will be considered payment for the current year and the following year. The membership roster will be purged of members with delinquent dues on January 1 and newsletters will cease being mailed after the January issue. If you have any questions after submitting your payment, please contact Membership Chair Mary Van Orsdol at membership@nsdcgs.org.

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