MEMBER-AT-LARGE DUES FORM - 2012
Current and
prospective members who do not belong to a Circle or Branch may pay dues
directly to The King's Daughters and Sons and enjoy the rights and privileges
of all members, including a subscription to The Silver Cross magazine. Just fill out the form below and mail it with
your check payable to IOKDS or credit card information to: IOKDS,
P. O. Box 1017, Chautauqua, NY 14722-1017.
Name______________________________________Telephone__________________
Address_______________________________________________________________
______________________________________________________________________
Zip code______________E-mail
address_____________________________________
Former Branch, if
any______________Former Circle, if any______________________
Payment is being made
for:
International Dues,
$25.00_______
or
International Dues
and Chautauqua Chapter Dues $27.00_______
Donation_______________
Total__________________
Credit Card Information: VISA______Mastercard_____ Expiration Date__________
Credit Card #___________________________________________________________
Signed________________________________________________________________