Membership Information

All RPCV of Wisconsin-Madison members receive a monthly newsletter, World Roots, on payment of dues as shown below. To avoid record-keeping hassles we prefer members pay through September of the year joining, then pay for a full year membership in September. Members renewing or joining between September and December should pay $15; members renewing or joining between January and April should pay $10; members renewing or joining between May and August should pay $5. Reduced rates are available for those in extreme financial circumstances. You can also join the National Peace Corps Association (NPCA) through us by paying an additional $25. We encourage you to join the NPCA, which provides us a way to affect national issues.

(Print this page, fill it out and mail it to the address below. Please check all that apply)

___ Individual - see above

___ Joint - $5 additional - (Two people receiving one newsletter)

___ Overseas Individual - $24 **Please note that these overseas rates

___ Overseas Joint - $29 do not include NPCA membership

___ I am also enclosing $35 for NPCA membership

___ ($45 for joint membership - two people with the same address)

___ I do not want to join, but would like to receive World Roots and am enclosing $7 ($15 for overseas) to cover costs.

___ I'm Moving! Please change my mailing address.

Total Enclosed: $ __________

Name: _____________________________________________

Address: _____________________________________________

_____________________________________________

Home Phone: _____________________________________________

Work Phone: _____________________________________________

Email Address: _____________________________________________

Country of Service: _____________________________________________

Service Dates: _____________________________________________

PC Job: _____________________________________________

Birth Date (optional): _____________________________________________

: The RPCV of Wisconsin are an active group, and there is always a need for a helping hand. If you are willing to lend a hand, please let us know:

___ I am interested in doing something, call me.

To get information on joining our listserv, contact Laura Buchs at llbuchs@hotmail.com: Send completed form and check to:

RPCV of Wisconsin - Madison
PO Box 1012
Madison WI 53701

___	Individual - see above
___	Joint - $5 additional - (Two people receiving one newsletter)
___	Overseas Individual - $24 **Please note that these overseas rates
___	Overseas Joint - $29 do not include NPCA membership
___	I am also enclosing $35 for NPCA membership
___	($45 for joint membership - two people with the same address)
___	I do not want to join, but would like to receive World Roots and am enclosing $7 ($15 for overseas) to cover costs.
___	I'm Moving! Please change my mailing address.

Name:	_____________________________________________
Address:	_____________________________________________
	_____________________________________________
Home Phone:	_____________________________________________
Work Phone:	_____________________________________________
Email Address:	_____________________________________________
Country of Service:	_____________________________________________
Service Dates:	_____________________________________________
PC Job:	_____________________________________________
Birth Date (optional):	_____________________________________________