Joyce Grimland David
Financial Secretary
24037 Wood Hollow, WB-136
Whitney, TX  76634

NORWEGIAN SOCIETY of TEXAS
Affiliated with Nordmans-Forbunder

INDIVIDUAL
APPLICATION for MEMBERSHIP
in  BOSQUE COUNTY  Chapter
Name ________________________________ Telephone _____________________________
Address ______________________________
City __________________________________ State _____  Zip Code ______________
Occupation ____________________________________________________________________
Membership Type (circle one): Family
$25.00		 Individual
$15.00		 Youth (16-19)
$10.00
Spouse ________________________ Children _______________________________________
Category: Birthplace_______________________ Norwegian Descent_______________
Interests in NST objectives__________ Married a Norwegian_____________
Information: Do you speak Norwegian?_________ Would you attend classes?_________
Do you play an instrument?_________ Which instrument?_______________
Committees on which you would actively serve:
Auditing _______ Editorial _______ Election_______
Genealogical _______ Historical _______ Membership _______
Nominating _______ Program _______ Public Relations _____
Scholarship _______ Special Projects _____ Newsletter _______
Would you participate in:
Baking _______ Card Games _______ Charter Trips _______
Cooking _______ Arts & Crafts _______ Folk Dancing _______
Picnics _______ Social Dancing _____ Other _______
Donation: Payable by December 31, each year.
Voting membership donations are $__________ for 12 months.
I understand that a portion of my donation will be remitted to the State NST and will include my subscription to the NYHETER together with a copy of the Medlemsbok.
Each person must complete an Individual Application for Membership.
Return the completed application form and donation to the Chapter Financial Secretary (listed at the top of the page).
_________________________________ __________________________
Signature Date