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 _____________________________________________                                  Subscription Delivery Choices
Ancestor's Parish/Farm Name _________________________ Please send TeleNews (newsletter) via 
               __   email     __ regular mail
Year Emigrated from Norway ______________ Please send Telesoga (historical journal) via
               __ email   __regular mail
 
Dues cover membership costs and bring you Telesoga and TeleNews, each published twice yearly.
U.S.:  __ $15  - 1 year Outside the U.S.:   __ $17- 1 year
          __ $45  Four years                           
          __ $175 lifetime
                              __ $52 - 4 years
                          Mail your check made out to Telelaget of America to:                                
                                                             Judy Mathison
                                                             S47 W23365 Lawnsdale
                                                             Waukesha, Wisconsin  53189

                                                        Email for questions:
                                                       membership@telelaget.com
   

Norway:  __ 100 NOK - 1 year In Norway: Send your membership fee
directly to Hjartdal & Gransherad Sparebank 
for deposit in account number 2699.07.11754    
               __ 360 NOK - 4 Years
               __ 1050 NOK - Lifetime 
Application Version:October 2014