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YOU CAN ALSO ORDER YOUR MEMBERSHIP ON-LINE

New York Folklore Society
MEMBERSHIP FORM


CheckboxYes! I want to join the New York Folklore Society

Make a tax deductible donation and help support the organization that supports folklore!
Circle one: Mr. Ms. Mrs. Dr.
Name _______________________________________________________________________
Organization _______________________________________________________________________
Address _______________________________________________________________________
City/State/Zip/Country _______________________________________________________________________
Telephone _______________________________________________________________________
E-mail _______________________________________________________________________

Checkbox New member        Checkbox Renewing member
Checkbox Gift membership. Introduce a friend or relative to the world of folklore
BASIC MEMBERSHIP
Checkbox $45   Basic Member
Checkbox $25   Full-time student
Checkbox $25   Senior (65+)
Checkbox $55   Joint (two or more at the same address)
Checkbox $60   Organizations and institutions
BASIC MEMBERSHIP + DONATIONMake a tax-deductible donation and help support the organization that supports folklore:
Checkbox $60   Supporting Member
Checkbox $100-$499   The Harold W. Thompson circle
Checkbox $500 and up   The Centennial Club
Please add $10 for additional postage for non-U.S. addressed Basic Memberships.


Membership dues

Tax-deductible donation

Foreign Postage

Total enclosed
2014 Dues

$________________

$________________

$________________

$________________
2015 Dues

$________________

$________________

$________________

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


TO ORDER: Print this form 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, 129 Jay Street, Schenectady, NY 12305
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, Visa, and Discover
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© 2014, 2013-1998 New York Folklore Society