NTTDS Home

NTTDS MEMBERSHIP FORM

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.




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