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.

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, the cost of regular membership will be increasing to $30 per year and only be offered as paperless. Membership cards will still be mailed out, but all other printed materials are available for free on the website and will be able to 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: *
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:
$  
Payment Options

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

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