PLEASE PRINT THIS FORM AND MAIL THE COMPLETED FORM WITH YOUR DUES TO THE ADDRESS LISTED AT THE BOTTOM OF THIS FORM ST. DAVID'S WELSH SOCIETY OF GEORGIA MEMBERSHIP FORM Type of Membership: NEW_____                                                                                      RENEWAL_____ SINGLE ($20/YEAR )  ____                                                    FAMILY($30/YEAR )____ NAME                                                                                                                                                        ADDRESS                                                                                                                                         CITY                                                                  STATE                  ZIP                                  HOME PHONE(      )                                                   WORK PHONE(       )                                                  E-MAIL ADDRESS                                                                                                                                       OCCUPATION                                                                                                                                   WE WOULD LIKE TO KNOW MORE ABOUT YOU !! PLEASE TELL US ABOUT YOUR WELSH INTERESTS, BACKGROUND, FAMILY, JOB, HOBBIES, TALENTS --- ANYTHING AT ALL.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            MAIL WITH PAYMENT TO: Tom Hughes TREASURER, SDWS-GA 5438 Redstone Terrace Dunwoody,GA 30338 (Please make checks payable to: St. David's Welsh Society of GA)