The Netherlands America University League 
     of California
 
Membership Form

JOINING NAUL IS EASY:

MEMBERSHIP APPLICATION

To become a member, please print this page, fill out the Naul Membership Application Form shown below and mail it together with your check payable to NAUL-CAL to:

NAUL-CAL Treasurer
Tineke Jacobsen
777 North Gate Road
Walnut Creek, 94598

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NAUL MEMBERSHIP APPLICATION FORM

Last Name(s)_____________________________________    

First Name (s)_____________________________________   

Address_________________________________________

_______________________________________________

Phone__________________________________________

E-Mail__________________________________________

I would prefer getting anouncements by (check please):

__Email or __ Surface Mail (We encourage you to choose the email option).


Membership Annual (Calender year) dues (Please circle one)
Corporate $150
Couple/Family $40
Single/Seniors (65 years and older) $30
Students $10 (full time enrolled)

Comment: _______________________________________
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