2012 Membership Application
Paying by PayPal or credit card: For PayPal or credit-card payment, simply click here. You'll be taken to a simple web page that is, for temporary technical reasons, hosted on Rudy Ramsey's ramsisle.com domain. Clicking the PayPal button there will initiate payment.
Paying by check or money order: Otherwise, please print this form, fill it out, and mail it with payment as instructed below.
Please select the appropriate membership option listed below.
Individual Membership
Through December 31 2012 - $35 ______
Family Membership
Through December 31 2012 - $45 ______
Club Membership
Through December 31 2012 - $50 ______
Corporate Membership
Through December 31 2012 - $100 ______
Contribution
(tax deductable for U.S. taxpayers!) ______
Total
$_______
| Canadian Residents | All others, including U.S. Residents |
|---|---|
|
Canadian residents may pay in Canadian dollars, at par. Make out your check to "Toronto Gaelic Learners Association", and mail to ACGA |
All others: Make out your check, in U.S. dollars, to "ACGA", and mail to ACGA |
( ) I am a new ACGA member ( ) I am a 2011 ACGA member renewing for 2012
Name: _____________________________________________________
Street: _____________________________________________________
City: _______________________________________________________
State/Province: ____________________ Zip/Postal code: _____________
Country: ________________ Telephone: (_____) ______ – ___________
E-mail address: _______________________________________________ (Important -- we use this to communicate)
My current Gaelic language level is (check one):
( ) Beginner ( ) Advanced Beginner ( ) Intermediate
( ) Advanced Student ( ) Fluent ( ) Native Speaker
If advanced, would you be willing to teach or lead a study group? ___________
Would you be willing to host or help with local activities? ____________
Where specifically did you hear about ACGA (name of magazine, online, name of highland games etc.) _____________________________________
(ACGA Internet Application)
