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Membership and Subscription Form

One person per form, please. We have a paper version of the form but we strongly prefer you submit the one below because it makes processing faster and more accurate.

Note: If you are under 18, you must also have a parent/guardian notarized signature on this waiver. If you are renewing a membership/subscription, or rejoining after your membership expired, please use the renewal form instead.

Personal Information				Privacy Level
Secular name:	(help)			(help)
Religious name:	(help)
Address:
City:		State/Prov.:
Zip/postal code:		Nation:
Birth date:	(help)	Phone:
E-mail address:
Grove affiliation:	(help)
Where did you hear about us?			Specifically:
Note: As stated in our privacy policy, ADF will not sell or rent your personal information.

Donations
Membership donation		years
Oak Leaves journal (help)		years
Additional donation(s) (help)	As Needed in the Organization	$
	Publishing Efforts (e.g., Oak Leaves)	$
	Fund to Purchase ADF Land	$
	Compassionate Membership Fund	$
(All funds are in U.S. dollars)	Total Due:	$

Payment Options
Payment Method:	Credit Card (PayPal)	Check or Money Order

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