Sokol Membership

I am

Name

First NameLast Name

Email

example@example.com

(for couples) First and Last Name #2

(for couples) E-mail #2

example@example.com

Address - only fill out if this is a new membership or if updates to existing membership is required

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

My Sokol Interests

Slovo newsletter delivery

Other information about me/us:

Ideas to make Sokol even better:

July 1-December 31: Regular Membership - Single Membership

$30.00

July 1-December 31: Couple Membership

Two adults at the same address

$50.00

July 1-December 31: Senior Membership

Individuals who are 65 and older

$25.00

July 1-December 31: Senior Couple Membership

Two seniors at the same address who are 65 and older

$45.00

Total