Lone Star Dutch Oven Society
Membership Application*


NEW MEMBERS ONLY:  1/1 thru 3/31 - $20, 4/1 thru 6/30 - $15, 7/1 thru 9/30 - $10, 10/1 thru 12/31 - $5 per household per calendar year.  Dues are RENEWED at the January 1 rate even if they are renewed later in the year.

Name(s) __________________________________________________
_________________________________________________________
_________________________________________________________ 
Address __________________________________________________
City______________________________________________________
State ______________________________Zip____________________
Phone (_____) _____________________________________________
Email Address _____________________________________________ 
Referred by _______________________________________________
Chapter Preference _________________________________________

How would you like to receive your newsletter?
_____ View on www.lsdos.com or _____ U. S. Mail

Do you wish to have your contact information published in a Membership Directory?     ____YES          _____NO

Make check or M.O. payable to:  Lone Star Dutch Oven Society  
Mail with this application to:
Greg Petrey
P. O. Box 822472
North Richland Hills, TX  76182-2472

Welcome to the Lone Star Dutch Oven Society.  As a new member, you will receive your membership card by return mail.  Your membership includes a subscription to "The Dutch Oven", our more or less quarterly newsletter.

*Please allow 4-6 weeks to process your application.

MEMBERSHIP FEES ARE NOT REFUNDABLE

07/17/11