The Dante Society of America

Membership Form

 

 

To join, please print the following membership form, fill it out and send it
together with a check (in American funds only) to:

Dante Society of America
P.O. Box 1558
Arlington, MA 02474-0023

Regular:
Student:
Sustaining:

$30
$15
$50

Patron:
Life:
Supporting Life:

$100*
$500*
$750*

Joint membership (single address required): $35

Enclosed is my dues payment of $ _________ for the calendar year beginning January 1, _____________ .

Name: __________________________________________________________________

Address: ________________________________________________________________

_________________________________________________________________

_________________________________________________________________

E-mail: ______________________________ Phone: ____________________________