SAS MEMBERSHIP 2009/2010 (membership due May 1st, 2009)

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Please print, complete this form and send it together with your payment to our treasurer, Guido Walther..

Name (First, Last): __________________     Date of Birth:  _________
Name (First, Last): __________________     Date of Birth:  _________

Address:              _______________________________________
City:                      ______________  State: ___   Zip Code:_______
Phone(s):             ____________________________________            
E-Mail:                  ____________________________________

O Yes, send me e-mail invitations to events               
O No, send invitations by mail only

(Please note that short-notice invitations, mostly received by the Consulate, are only sent out by e-mail, but our regular SAS invitations can be mailed if preferred)

Child 1:    ______________             Date of Birth:  ________________
Child 2:    ______________             Date of Birth:  ________________
Child 3:    ______________             Date of Birth:  ________________
Child 4:    ______________             Date of Birth:  ________________

O Yes, we accept to be listed on the club’s membership directory and understand it may be shared freely with other club members (but not made available to non-members).

O No, we do not accept personal information relating to SAS membership made accessible to others than the SAS board of directors.

O Yes, I would like to get the invitation to the monthly SAS Ladies’ Luncheons
O Yes, I would like to get the invitation to the Swiss Moms & Kids Meetings 

O I am/We are interested in the following: Please circle a category or add an idea)
“Jassen”                   Hiking                    Youth                    

Additional ideas or suggestions for the SAS Board:                _________________________________________

O We are no longer interested in a club membership

Date:    _____________        Signature:  _________________________

Membership fees are: $30.00 per individual or $ 55.00 per family.
(Children under 18 years are free; children over 18 years living at home are included in the family membership).

Please make check payable to “SAS Atlanta” and mail:
Guido Walther, 1478 Macy Lane, Lawrenceville GA 30043 

Thank you very much!