NANFA Membership/Donation Form

Membership costs (US$):
USA = $30/year
Canada = $40/year
All other countries = $60/year
All other countries = $30 US$ / year with electronic only delivery of American Currents (a pdf version will be made available, no hard copy will be delivered)

Mail check or money order, payable to NANFA, to:

NANFA
9129 Debold Kobel Rd
Pleasant Plain, OH 45162

I wish to pay my membership dues for_______years at $________a year (US$).
(Non-U.S. Members, please send postal money order in U.S. funds.)
This is a (please check one): new membership _____   renewal _____

I would like to make a tax deductible contribution in the amount of $___________ to help fund NANFA's education and conservation activities.
You will receive a receipt for your donation. NANFA's Federal ID number is 52-2313148

Mrs. /  Ms. /  Mr. / Dr. ________________________________

PHONE______________________

ADDRESS__________________________________________________________

CITY____________________________________STATE/PROV.________________

ZIP CODE____________________COUNTRY (if not USA)_____________________

E-MAIL ADDRESS ____________________________________________________

Please tell us how you heard about us:

____________________________________________________

We make a membership directory available to NANFA members. This is a way for members to meet each other.
May we include your address in this directory? _____
May we include your phone number? ______

Thank you!