MEMBERSHIP APPLICATION / RENEWAL

Membership Categories (please write in amount):

 

SCANDINAVIAN AMERICAN
FOUNDATION OF GEORGIA
P.O.Box 1166 DECATUR, GA 30031-1166

Diamond $10,000
Gold $5,000
Silver $2,000
Inner Circle $1,000
Patron $500
Sponsor $250
Supporter/Corporate $100
Family $35
Individual $25

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DATE: _______________

In an effort to reduce paper, printing and postage costs, we will send out our newsletter (INSIGHTS) by email. If you prefer to receive a hard copy mailed to you, check here: ________.

 

For tax purposes, SAFG is a 501(c)3 nonprofit organization, and the value of your donation may be taxdeductible.

NAME:_____________________________________SPOUSE:_______________________________
ADDRESS:_________________________________________________________________________
PHONE:___________________ FAX:________________EMAIL:____________________________
BUSINESS AFFILIATION:____________________________________________________________

PLEASE CIRCLE AREAS OF INTEREST: Athletics | Communication | Culinary Arts | Dance |
Education | Film | Finance | Literature | Membership | Music | Theater | Visual Arts

COUNTRY/COUNTRIES OF INTEREST: Denmark Finland Iceland Norway Sweden