TELELAGET of AMERICA
MEMBERSHIP APPLICATION
| First Name /Spouse Name | _________________________ | |
| Last Name | _________________________________________________________ | |
| Street Address/Apartment | ______________________________________________ _________ | |
| City | _________________________ | |
| State/Province | _________________________ | Zip: _______________ |
| Your E-mail Address | ______________________________ | |
| About Your Telemark Ancestors (provide information that you know) | ||
| Ancestor's Name | _____________________________________________ | |
| Ancestor's Parish/Farm Name | _________________________ | |
| Year Emigrated from Norway | ______________ | |
| Dues cover membership costs and bring you Telesoga and TeleNews, each published twice yearly. | ||
| Select Telesoga and TeleNews delivery __ Digital only (.pdf format via email) __ Paper only (via USPS) __ Both Digital and Paper |
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U.S.: __ $15 - 1 year __ $45 - Four years __ $175 - Lifetime |
Outside the U.S.:
__ $17- 1 year __ $52 - 4 years __ $180 - Lifetime |
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Mail your check made out to Telelaget of America
to:
Joan Niemiec 4239 Harriet Avenue Minneapolis MN 55409 Email for questions: membership@telelaget.com |
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| Norway: __ 150 NOK - 1 year | In Norway: Send your
membership fee directly to Hjartdal & Gransherad Sparebank for deposit in account number 2699.07.11754 |
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__ 550 NOK - 4 Years __ 2500 NOK - Lifetime |
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| Application Version:December 2020 | ||