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New Membership Form

New Cracow Friendship Society
New Membership Application                                                                                                                                                         

All new applicants must print out and complete the application form “in full”
and mail with a check** to :

NCFS  c/o Ida  Lewis
147-17 78 Rd.
Flushing, N.Y.  11367

**You can pay electronically via donate button below, and mail completed application to address above.

Name: ______________________________________________    Maiden _________________________

Mobile Number:______________________     DOB ________________   Circle one:   2G     3G    4G

Home Telephone Number: _________________________ Anniversary Date: ___________________

Address:________________________________________________________________________________

Ancestry names and birth place linked to Galica region:  ___________________________________

_________________________________________   ______________________________________________
                                                    

Spouse’s Name: ______________________________________  Maiden __________________________

Mobile Number:   _______________________        DOB:  __________________ 

Summer/Winter Address: _________________________________________________________________

Other phone number (s): _________________________________   Months away: _________________

Children’s Names: _______________________________________________________________________
                            

Family Membership: $40.00   Single Membership:  $25.00    New Member one time fee*:  $50.00

Contribution:  ______ $36   ______ $54    ______$72   ______$180     ______$360  ______other

 $_____ Membership  +   $ _____ contribution  +  one time fee*$__50_ =  Total $ ________


                    *A one-time initiation fee of $50 is required for new membership enrollment.


                                _______________________________      ____________
                                                        Signature                                               Date


As our membership fees have been increased only once since 1965, so  additional contributions are one way to defray operation costs and enable continued philanthropic work as a non profit organization: 501(c)4.   All new membership must mail in a complete form and enclose check payable to NCFS or mail in application and submit payment using our donation button.  

Your membership information will only be used by the NCFS.  Members in good standing can acquire cemetery plots if available.  More information will be provided upon request. 
For further assistance contact the membership committee by mail or by 
e-mailing
Membership acceptance is available regardless of ability to pay dues. 

Copyright © ncfs 1965-2019    The New Cracow Friendship Society, Inc.    501(c)4    All rights reserved.
updated 5/19/19 SHS IK   ncfs.org@gmail.com     www.newcracowfriendshipsoc.org
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