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| MEMBERSHIP APPLICATION Name:_______________________________________________________ Address:______________________________________________________ _____________________________________________________________ Home phone_______________________Work_______________________ E-mail________________________________________________________ NEW:______________ RENEWAL:_______________ How did you hear of this Organization:______________________________ Member of NCRID?______________ Member of RID?________________ Classifications/Certifications (if applicable)____________________________ Comments: (What are your expectations, hopes and/or goals for joining RID-S?) ________________________________________________________________ ________________________________________________________________ Prorated Membership Dues (For NEW Members only) Prorated membership dues are available only to NEW members joining the Organization after the first quarter of our fiscal year. See the chart below to determine if prorated dues apply. If you join between: 4/1 - 9/30 $10.00 10/1 - 12/31 7.50 1/1 - 3/31 5.00 All Members are encourage to participate in meetings, workshops and events. Your particiaption is vital to the success of this Organization. DO NOT WRITE ON BOTTOM PORTION Date Rec'd_______________ Amt_____________ Check No._____________ Processed____________Completed____________ |
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| RID by the Sea |
| CODE OF ETHICS STATEMENT: I have read, I understand and I agree to adhere to the RID Code of Ethics. _________________________________ signature |
| ANNUAL MEMBERSHIP DUES ARE $10.00 DUE BY MAY 1ST. |
| PRINT THIS APPLICATION FORM, COMPLETE AND SEND WITH CHECK OR MONEY ORDER MADE PAYABLE TO RID BY THE SEA TO: RID BY THE SEA MEMBERSHIP Donna Autry, Chapter President 2261 Kirby Rd SW Supply, NC 28462 |
| Will List Names Addresses, Email and Category of Membership on our Membership Listing. |
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| _____ Supporting Member (not-active, attends occassionally) _____Casual Member (sporadically active, sporadically attends) _____Practicing Member (active, volunteers & attends irregularly) _____Active Member (actively involved, volunteers & attends regularly) ALL MEMBERS ARE VITAL TO THE SUCCESS OF RID BY THE SEA. |