PLEASE PRINT CLEARLY
Name ___________________________________________________ Date _________
Street ________________________________________________________________
City ____________________________________________ State ____ Zip _________
Email Address _________________________________________________________
Home Phone (____)__________________ Work Phone (____)__________________
Membership Type:
Individual ($12.00/yr)* $________ Family (2 or more, $18.00/yr)* $________
* All memberships renew in February. Renewals
in other months cost less,
as indicated in the table below for
Individual (I) and Family (F) memberships.
Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | Jan | |
I | 12.00 | 11.00 | 10.00 | 9.00 | 8.00 | 7.00 | 6.00 | 5.00 | 4.00 | 3.00 | 2.00 | 1.00 |
F | 18.00 | 16.50 | 15.00 | 13.50 | 12.00 | 10.50 | 9.00 | 7.50 | 6.00 | 4.50 | 3.00 | 1.50 |
If Family, list family members:
_____________________________________________________________________
_____________________________________________________________________
List me in Membership Directory: Yes ___ No ___Make checks payable to NTTDS
Mail to: Linda Mahony, 1923 Kensington Drive, Carrollton, TX 75007
If a family has more than one phone or email, list them below.