Name(s) M./Mme/Mlle________________________________________________

Address  ______________________________________________

City__________________        Zip+4 _________ E-Mail(1)____________________

Phone (      )  ____________ E-Mail(2) ______________

Membership dues for the '07-'08 season:. .  . Individual $50 ; Couple $75.  .  .   .  Dues _________

         (....$25/$38 for Feb.'08 thru Aug,'08, if joining after Jan.24)


If you volunteer by Sept. 12 to contribute
baked goods towards Tea at one of our Lecture meetings, .  .  .  .  .  please subtract $5 (_______)
 and Joan Lindsey will contact you to confirm the details of your food contribution.




Enrollment for 10-session Int/Advanced Conversation Classe Merc. Soir,  .  .  $140.00 Fee _________
  (First class starts Weds. Sept.12'07;Enrollment must reach 8 students for the 
    classto be offered, but the classroom limits us to 12-14 students Max.) 


If you would like to make a donation to AFNS to support


our club's programs and defray our club expenses, add that amount here  .  .  . Donation $_________




                   ............................................Your TOTAL (enclosed)$_________________




Please make your check payable to: Alliance Francaise du North Shore. 

Return form and payment to: Attn: M. Robert Bonges,Treasurer 
                            c/o P.O. Box 1750,   Evanston,  IL  60204


Your areas of interest?  The success of our francophone group relies on the active 
involvement of our members. Please indicate the 

activities in which you are most interested in participating:


_____Our publicity efforts       ____ Web site             ___ post-lecture Tea&Refreshments service

_____Lending Library             ____ Ciné Club            ___ Starting another Cercle Lecture

_____Spring LuncheonOur          ____ Cercle des Contes    ___ Gathering chapter history

_____Greeting Lecture attendees  ____ Cercle de Lecture    ___ Helping with Programs

_____Café Conversation, AM       ____ Café Conversation, PM   

   

____ Other:______________________________________________


____I would like to join the waiting list for Cercle de Contes, which usually 
     meets the last Monday of the month at 1:30 p.m. for advanced beginners.. or 
___Cercle de Lecture, for very-fluent and native speakers.


SONDAGE:  What were your favorite club activities you attended last year, (be specific),
and,  What Lecture topics do you nominate for future seasons?






This version of the Membershipform was revised le 15 août 2007 by mmo.