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
