NFDI Membership Application

Print out this form if you are paying by check (not fillable online!) and send it to the address at the bottom of the form. If you are paying via PayPal or a credit card, you don't need to fill out this form. Just go to PayPal and choose the membership type.

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 $35.00

( ) Adult member (18 & over) $30.00

( ) Junior members (17 & under) $15.00

( ) Household (2 adults/same address) $35.00

( ) Family (1 or 2 adults + children) $35.00

( ) Gold card members (postage only) $ 5.00

Gold cards are awarded by the NFDI board only
( ) Foreign countries (including Canada) $45.00

Subscribers who receive the newsletter via email pay U.S. rates
( ) NEW! Friend of NFDI (includes membership) $50.00

( ) NEW! Supporting member (includes membership) $100.00

Subscriptions may be paid for multiple years at one time.

How many years are you paying for?    ______________

( ) 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 $20 of my membership fee applies to a subscription to THE NORTHWEST FOLK DANCER magazine.

Signature (required):

All Canadian and foreign checks must be payable in U.S. funds. Memberships are valid for one year from the date you join. Make checks payable to NFDI.



Mail completed applications with payment to:

Northwest Folk Dancers, Inc., c/o Kathy Bruni, P.O. Box 333, Lynnwood, WA 98046-0333

Membership type (check one):
( )	Club membership	$35.00
( )	Adult member (18 & over)	$30.00
( )	Junior members (17 & under)	$15.00
( )	Household (2 adults/same address)	$35.00
( )	Family (1 or 2 adults + children)	$35.00
( )	Gold card members (postage only)	$ 5.00
	Gold cards are awarded by the NFDI board only
( )	Foreign countries (including Canada)	$45.00
	Subscribers who receive the newsletter via email pay U.S. rates
( )	NEW! Friend of NFDI (includes membership)	$50.00
( )	NEW! Supporting member (includes membership)	$100.00
	Subscriptions may be paid for multiple years at one time.
	How many years are you paying for? ______________
( )	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 $20 of my membership fee applies to a subscription to THE NORTHWEST FOLK DANCER magazine.
Signature (required):
All Canadian and foreign checks must be payable in U.S. funds. Memberships are valid for one year from the date you join. Make checks payable to NFDI.

Mail completed applications with payment to:
Northwest Folk Dancers, Inc., c/o Kathy Bruni, P.O. Box 333, Lynnwood, WA 98046-0333