U. S. Application

In order to simplify administration, ACGA has adopted a common renewal date. Memberships will now run from January 1 to December 31. New members will pay a prorated amount based on the date of their joining ACGA until January 1 of the following year when all memberships will become due at the full rate.

Please select the appropriare membership option listed below.

Individual Membership

January 1 2010 - December 31 2010 - $35         ______

Family Membership

January 1 2010 - December 31 2010 - $45         ______

Club Membership

January 1 - December 31 - $50                           ______

Corporate Membership

January 1 - December 31 - $100                         ______

Contribution

(tax deductable!)                                                 ______

Total

                                                                        $_______

Please print this form and send your check in US funds to:

ACGA
PO Box 103069
Denver, CO 80250
USA

Membership fees should be made payable to ACGA.

( ) I am a new ACGA member    ( ) I am a renewing ACGA member

Name: _____________________________________________________

Street: _____________________________________________________

City: _______________________________________________________

State/Province: ____________________   Zip/Postal code: _____________

Country: ________________   Telephone: (_____) ______ – ___________

E-mail address: _______________________________________________ (Important -- we use this to communicate)

My current Gaelic language level is (check one):

( ) Beginner   ( ) Advanced Beginner   ( ) Intermediate

( ) Advanced Student   ( ) Fluent   ( ) Native Speaker

If advanced, would you be willing to teach or lead a study group? ___________

Would you be willing to host or help with local activities? ____________

Where specifically did you hear about ACGA (name of magazine, online, name of highland games etc.) _____________________________________

(ACGA Internet Application)