REBILD NATIONAL PARK SOCIETY, INC
An Illinois not-for profit tax-exempt organization
National Membership Dues Notice for 2007
(please print out)

**Chapter name_________________

My Name________________________________________

Address_________________________________________

City________________State______________Zip_______

Phone________________

Email__________________________

_____Student/Youth (max. 25 years old):	$25.00
_____ Personal Membership:	$40.00
_____ Couple or Household Membership:	$60.00
_____ Associate Membership:	$125.00
_____ Corporate Membership:	$500.00
_____ Lifetime Membership:	$1000.00

Make check payable to: Rebild National Park Society, Inc.

Mail to:
Rebild U.S. Office, Pia R. Jensen
890 North Sage Circle Pleasant
Grove, UT 84062

Phone: 801-785-7644

Thank you for supporting the only Danish-American Friendship Organization with members on both sidesof the Atlantic!