Please print this form, fill it out, and send it with your check via regular mail to:

NGFDA
P.O Box 15573
Atlanta, GA 30333

Please make checks payable to NGFDA

Individual Membership $20	Family Membership $30
Tab book $7 plus $4 shipping

Your Name:	__________________________________
Address:	__________________________________
City:	_____________	State:	_____	Zip:_______
Your Email:	__________________________________
Your Phone Number:	__________________________________
Do you want to order a tab book with your membership? ($11, including shipping)	Yes ○ No ○
Please place a check next to your dulcimer playing level:	Beginner ○ Intermediate ○ Advanced ○ Teacher ○ No dulcimer YET! ○

Members can automatically access our monthly newsletter at www.ngfda.org by clicking “newsletter” and entering your email address as listed above. The newsletter is posted around the 25th of each month. Members without convenient internet access may request mailed copies by contacting NGFDA, PO Box 15573, Atlanta, GA 30333.

If you have any comments or questions please enter them below.

Remember, we must receive your application and check before we can activate your membership