Membership Application

GACA

German American Citizens Association

 

I wish to join the German-American Citizens Association and herewith enclose my remittance (check or money order) of $                                 for the year 2011.

 

I understand that with the receipt of my membership card I will be entitled to all privileges of Membership and will abide by all conditions of membership as stated in the By-Laws.

 

Text Box: (spouse)

 

Text Box: (first name)

 

Text Box: (last name)

 

Name                                                                                                                         

 

Address

 


City                                                     State                           Zip Code

 

Phone Number                                                           Cell Number

 

Text Box: (spouse)

 

Text Box: (applicant)

 

Country of Birth

 

Name and age of children age 18 and younger

 

Text Box: (spouse)

 

Text Box: (applicant)

 

Occupation

 

E-mail

 

Submit application for board approval

#1 Sponsor                                                      Signature

 


#2 Sponsor                                                      Date:

 

 

 


Mail application and payment to:                                                                            

            G.A.C.A                                                                      Email: Saaleelf@sbcglobal.net

            Elfriede Jass                                                              Cell:    (816) 739-2948

            7621 Englewood

            Raytown, Mo  64138                                                

Current Fees

(Jan-Dec)

                                            Family Membership:                 $25.00 per year

                                            Individual Membership:            $20.00 per year

                                            Half year Membership: Half price (Jun – Dec)