Hadeland Lag Membership Renewal Form

Make your check out to the Hadeland Lag and mail it with this form to:

Barb Schmitt, Treasurer               In Norway, mail payment to

1006 Aston Circle                        Harald Hvattum

Burnsville MN   55337                 Achimslinna 4, 2760 Brandbu


 

 Membership Information

Name

 

Mailing Address

 

City                                  State/Province      Zip/Postal Code  

 

 

E-mail ______________________________________

 

Phone (___)______-_________

 

DUES RATES  
Digital (anywhere)  Delivered via email in .pdf format
   
One Year    $15.00 USD
    Two Years   $25.00 USD
    Three Years $35.00 USD

US (paper)

    One Year    $18.00 USD
    Two Years     30.00 USD
    Three Years: 42.00 USD
Canada (paper)                                                                AMOUNT ENCLOSED:  __________________
    One Year    $28.00 CAN
    Two Years    56.00 CAN
    Three Years: 84.00 CAN
International (paper)                                                                   ___ Check Here if paid on-line  
     One Year   $ 30.00 US
     Two Years    60.00 US
     Three Years  90.00 US
Norway 
    One Year-Digital  100 NOK
    One Year - Paper 200 NOK
   
dIGITAL