New York Folklore Society Membership Form

NOW AVAILABLE! ORDER YOUR MEMBERSHIP ON-LINE

New York Folklore Society
MEMBERSHIP FORM

Yes! I want to join the New York Folklore Society

Make a tax deductible donation and help support the organization that supports folklore!

TO ORDER: Print this form (2 pages) and complete.
ENCLOSE Check made payable to "New York Folklore Society" (in U.S. funds) or complete credit card information on form.
MAIL TO:

New York Folklore Society
P.O. Box 764
Schenectady, NY 12301

Or TELEPHONE our office with your credit card information:
518/346-7008

Or FAX THIS FORM to our office with your credit card information:
Fax 518/346-6617

We accept Mastercard and Visa

nyfs@nyfolklore.org

Circle one:	Mr.	Ms.	Mrs.
Name	_____________________________________________
Organization	_____________________________________________
Address	_____________________________________________
City/State/Zip/Country	_____________________________________________
Telephone	_____________________________________________
E-mail	_____________________________________________

New member Renewing member

Gift membership. Introduce a friend or relative to the world of folklore

SPECIAL MEMBERSHIP OFFER: VOICES IN NY CD-A-MONTH

$275 12 months of Voices in NY CD selections, and annual membership

$175 6 months of Voices in NY CD selections, and annual membership

BASIC MEMBERSHIP

$45 Basic Member

$25 Full-time student

$25 Senior (65+)

$55 Joint (two or more at the same address)

$60 Organizations and institutions

BASIC MEMBERSHIP + DONATION—Make a tax-deductible donation and help support the organization that supports folklore:

$60 Supporting Member

$100and up The Harold W. Thompson circle

Please add $10 for additional postage for non-U.S. addressed Basic Memberships and $35 additional postage for non-U.S. addressed special Voices in NY CD 12- month memberships ($25 for 6-month memberships).

Membership dues

Tax-deductible donation

Foreign Postage

Total enclosed

2012 Dues

$________________

$________________

$________________

$________________

2013 Dues

$________________

$________________

$________________

$________________

The amount of memberships greater than $20 and all donations are tax-deductible to the extent allowed by law.

PAYMENT OPTIONS (Check one):
_____ My check is enclosed. (Please make check (in US funds) payable to New York Folklore Society).
_____ Please apply total charges to my Visa or Mastercard (Fill in credit card information in blanks below.)

Card No. ____________________________________________

3-Digit Security Code* ____________ Exp. Date __________

Cardholder signature ____________________________________
*This three-digit code is located after the card number (or after the last four digits) on the back of your credit card number within the signature field. Please be careful not to enter the last three digits of your credit card number, or your card may not be accepted.