Please Print:

Name:__________________________________________________________Born (month/day):________________SDP#__________________
  (last)                                       (first)      

Address:______________________________________________________Spouse:________________________________________

City:_____________________________State:________________Zip__________________FAX:_____________________________

Phone:  (H)___________________(W)__________________E-Mail:___________________________________________________

Cell Phone: ____________________________

Please check appropriate Boxes: 

( ) New Member ($25)
( ) Renewal ($20-$25 after 12/31)
( ) New Business Member ($26) 
( ) Renewal Business ($25-$26 after 12/31)
( ) New Associate ($31) 
( ) Renewal Associate ($30 -$31 after 12/31)

  _____Active  _____Inactive  ____Teacher  ____Student

Please make check payable to Tar Heel Toler.  Mail  THT check to Margie Hooper, 7518 Surry Lane, Indian Trail, NC 28079.  Send membership dues for SDP directly to national.  Membership dues for National is $35  before December 30 and $40.00 after December 1.  You must be a member of SDP  in order to join Tar Heel Tolers.  Please send a photocopy of your SDP membership card with payment of Tar Heel Toler Dues. (Checks will be returned if this procedure is not followed.)

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Membership dues are due December 1 for the following year and are delinquent after December 31.  Tar Heel Tolers renewals pay new member rates after December 31.  SDP membership is required before joining Tar Heel Tolers. You may join both at the same time.

An active member attends a minimum of two meetings yearly.  New members are inactive until the 2nd meeting attended.  Inactive members do have voting priviledges.  All seminars are based on a first application basis of new members before inactive members.

Meetings are held the 3rd Saturdays of January, March, May, September, and November.

Mail check and form to:  Margie Hooper, 7518 Surry Lane, Indian Trail, NC 28079

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