Membership and Subscription Form | ADF

Membership and Subscription Form

If you are trying to renew your ADF membership, please log in first. This form is for new members, not renewals.

If you have any issues or questions, please Contact the Office

One person per form, please. You can print this form at the end and mail it in 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.

NOTICE: Starting January 4, 2014, regular membership will only be offered as paperless. Membership cards will still be mailed out, but all other printed materials are available for free on the website or paper copies can be purchased through the ADF Store.

Web Site Login Information:

Desired Username: *
Spaces are allowed; punctuation is not allowed except for periods, hyphens, and underscores.
Password: *
Provide a password for the new account in both fields.
Personal Information
Privacy Level

Secular Name: *
Religious Name:
Birth date: *
E-mail Address: *
*NOTE* There have been issues with AOL bouncing emails. If you have an AOL address you may not receive emails from ADF or any of the ADF lists.
The webmaster has been in contact with AOL but has not had any luck getting the issues resolved.
A valid e-mail address. All e-mails from the system will be sent to this address. The e-mail address is not made public and will only be used if you wish to receive a new password or wish to receive certain news or notifications by e-mail.
Address: *
 
City: *
State:
Zip/Postal Code:
Nation: *
Phone: *
Grove affiliation:
Region Association:
Where did you hear about us? *
Specifically:
Donations

Membership Donation: *
Number of Years: *
    
OakLeaves Subscription:
Number of Years: *
    
Additional Donation:
$  
If purpose is "Other", fill in here:
For "Regional Druid Fund", you may specify a region:
(All funds are in U.S. dollars)
Total Due will appear on next page.
Payment Options

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

Refund Policy:
By checking this box, I acknowledge that ADF does not issue refunds for contributions made to support ADF.

CAPTCHA
This question is for testing whether you are a human visitor and to prevent automated spam submissions.