Application For Membership In The Rusin Association

To Join the Association - (dues are annual, due in January - newsletter is printed on "as-needed" basis)

1. Fill in the form below.

2. Go to the File menu in your browser and select Print. Print out this entire form (for example, "print all" in MS-Windows). Please don't exit your Web browser until you have a good printout in hand, so you won't lose any of the information you typed!
3. Mail this form to us with a check or money order in the amount of $15.00 made payable in US Dollars to The Rusin Association
mail to: 1115 Pineview Lane North, Plymouth, MN 55441 Phone (612)595-9188. USA

Please process my application for membership:

Name:

Street Address:

City: Province/State:

Postal/Zip Code: Country:

E-mail Address:

Home Phone: Work Phone:

Interests - Art: Culinary: Historical Research: Literature: Music:

Needlework: Public Relations: Other:

Rusin Ancestry

Surname:

Village:

County:

Country:

Do you need help aquiring or clarifying this information? Yes No

Date:



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For more information...... please send e-mail to Karen Varian

Thank you for your interest in the Rusin Association. A Non-Profit Organization.

Back to Rusin Association of Minnesota Home Page




Last modified on April 26, 2005
URL:http://www.carpatho-rusyn.org/rusin/rusinapp.htm
Greg Gressa [ggressa@carpatho-rusyn.org]
The Carpatho-Rusyn Knowledge Base