NTTDS Home

NTTDS MEMBERSHIP FORM

PLEASE PRINT CLEARLY

Name __________________________________________________________________

Street ________________________________________________________________

City _________________________________________ State ____ Zip _________

Email Address _________________________________________________________

Home Phone (____)__________________    Work Phone (____)__________________

Cell Phone (____)__________________    Birthday (Month and Day) ________________

Membership Type:
Individual ($18.00/yr)* $________ Family (2 or more, $30.00/yr)* $________

All memberships expire in February. RENEWALS must pay for a full year,
no matter when the RENEWAL is paid.

* For NEW members, the fee varies by month for the remainder of the time until
the following February, as indicated in the table below for
Individual (I) and Family (F) memberships.

  Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan
I 18.00 16.50 15.00 13.50 12.00 10.50 9.00 7.50 6.00 4.50 3.00 1.50
F 30.00 27.50 25.00 22.50 20.00 17.50 15.00 12.50 10.00 7.50 5.00 2.50

If Family, list family members:

Name: ___________________________________ Birthday ________________

Name: ___________________________________ Birthday ________________

Name: ___________________________________ Birthday ________________

Name: ___________________________________ Birthday ________________

Name: ___________________________________ Birthday ________________

Name: ___________________________________ Birthday ________________

List me in Membership Directory: Yes ___ No ___

Make checks payable to NTTDS

Mail to: Linda Mahony, 1923 Kensington Drive, Carrollton, TX 75007

If family members have separate phone or email, please list them below.