Information about http://www.westonaprice.org/membershipform.pdf
The Weston A. Price Foundation …
Tags: benefactor, canadian membership, credit card payment, dr price, dying words, family friends, foundation membership, gift membership, gift memberships, health professionals, informational brochure, mastercard visa, membership form, millennium membership, patron membership, quarterly magazine, sponsor membership, student membership, visa card number, weston,Pages: 1
Language: english
Created: Tue Sep 6 21:22:16 2005
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The Weston A. Price Foundation
Membership Form
Yes! I would like to join the Weston A. Price Foundation and benefit from the timely information in
WiseTraditions, the Foundation's quarterly magazine!
_____Regular membership $40 _____Canadian membership $ 50
_____Student membership $25 _____Overseas (credit card payment only) $ 50
_____Senior membership $25 (62 and over)
Yes! I would like to help the Weston A. Price Foundation by becoming a member at a higher level of support.
_____Special membership $100 _____Benefactor membership $1,000
_____Sponsor membership $250 _____Millennium membership $10,000
_____Patron membership $500 _____Other $_____
Yes! Count me in! I would like to help spread the word!
Please send me___________copies of the Weston A. Price Foundation informational brochure at $1.00 each,
so I can pass them along to my family, friends and colleagues and be true to Dr. Price's dying words:
"You teach, you teach, you teach!"
(Health professionals are encouraged to provide this brochure to their patients.)
Yes! I would like to provide my family and friends with the gift of membership in the Weston. A Price Foundation.
(Please attach information on gift memberships.)
_____Regular gift membership(s) $40
_____Student/Senior gift membership(s) $25
_____Canadian and overseas gift membership(s) $50
Yes! _____Please send me details about forming a Weston A. Price Foundation local chapter in my community.
I'm enclosing $______for brochures and $______for ____annual membership(s), a total of $________ Payment method:
_____Check or money order (Please do not send cash) _____Mastercard _____Visa
Card Number:___________________________________________________Expiration Date:_____________________
Name (Mr)(Mrs)(Mr&Mrs)(Ms)(Miss)(Dr):________________________________________________________________
Signature:_________________________________________________________________________________________
Address:__________________________________________________________________________________________
City:___________________________________________________________State:____________Zip:________________
Phone:_________________________________________Email_______________________________________________
Please fax to (202) 363-4396 or mail to
The Weston A. Price Foundation
PMB #106-380 4200 Wisconsin Avenue, NW Washington, DC 20016
Membership Introduction by:_________________________________________________________________________