membershipform

Alliance Française du North Shore (IL)
P.O.Box 1750, Evanston, IL 60204 USA
Présidente: Mme Margot Steinhart
Website: http://alliancefn.wlkcommunity.com Email: alliancefn @ yahoo.com

Membership Form 2011-2012 -->Please PRINT the information as you wish it to appear in our directory, which will be distributed in November.

Name(s) M.,Mme,Mlle___________________________________________________________

Address ______________________________________________________________________

City__________________ Zip+4 ______________ E-Mail 1_____________________

Phone (__________ ) _________________________ E-Mail 2 __________________


Membership dues for the '11-'12 season:. . .Individual $50 ; Couple $75. . . . Dues _________
     (if joining after Jan.28, dues are reduced to $25/$38 for Feb.'12 thru Aug,'12)

Cours de français (Intermediate/Advanced dual level) starting Th.Oct.6.
. . . Enrollment: 8 students minimum& 14 students maximum. . $154. .  .  .  Class fee ________


If you join by Oct.1 and volunteer to contribute
baked goods towards Tea at one of our future programs............. please subtract $5 (_______)
 & Mme. Joan Lindsey will contact you to confirm the date/details of your food contribution.

                                                                         SUBTOTAL: $_________
Donation: Your added support of
our club's programs and CENTENNIAL events, add that amount here. . . .Donation...  $_________
(Your thank-you gift for donations of $100 or more: a sterling silver pin, exclusively
designed for AF du NS.  TieTac -or- WomansBroach/pendant(Circle preference.)

 ........................................................Your TOTAL (enclosed)$_______________

......Please make your check payable to: "Alliance Française du North Shore".
Return form and payment to: M. Robert Bonges,Treasurer AF du NS
                            1221 Forest Ave,Evanston,  IL  60202-1409

Your areas of interest?  The success of our francophone offerings relies on the active 
involvement of our members. Please indicate the activities you might pursue:

_____Publicity efforts      ____Web site           ___post-lecture Tea&Refreshments
_____Newsletter               ____Ciné Club        ___Cercle de lecture w/MmeWhiting
___Memb. Directory            ____Photography         ___Café Littéraire w/MmeRano
_____Welcoming  attendees        ____Videography         ___ Cercle des contes
____ Centennial Celebrations     ___ InfoTable@farmer'sMarkets  
____ Other:                                                   
           _______________________________________________    

(Cercle de Lecture and Café Littéraire are for advanced fluency or native readers&speakers.)


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

     _________________________________________________________________________________________


...this version of the Membershipform was revised le 4 septembre 2011 par mmo.