TELELAGET of AMERICA
MEMBERSHIP APPLICATION
| First Name /Spouse Name | _________________________ | __________________________ |
| Last Name | _________________________________________________________ | |
| Street Address/Apartment | ______________________________________________ _________ | |
| City | _________________________ | |
| State/Province | _________________________ | Zip: _______________ |
| Your E-mail Address | ______________________________ | |
| About Your Telemark Ancestors (provide information that you know) | ||
| Ancestor's Name | _____________________________________________ | |
| Ancestor's Parish/Farm Name | _________________________ | __________________________ |
| Year Emigrated from Norway | ______________ | |
| Dues cover membership costs and bring you Telesoga and TeleNews, each published twice yearly. | ||
| North America: __ $12 One year for individual or husband & wife Norway: __ 85 NOK One year | ||
|
__ $42 Four years
__ 340 NOK Four years __ $150 lifetime (Increases to $175 on March 1, 2012) |
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| Mail your check made out to Telelaget of
America to:
In Norway: Send your membership fee Joran Olson directly to Hjartdal & Gransherad Sparebank PO Box 88645 for deposit in account number 2699.07.11754 Sioux Falls SD 57109 Email for questions: joralouise@gmail.com Application Version:December 2011 |
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