Gift Member Information
Name _____________________________________________________________________
Mailing Address __________________________________________________________
City _________________________________________ State/Province __________
Zip/Postal Code _________________ Home Phone _______________________
E-mail ____________________________________________
Hadeland Family Connection
Provide any of the following information you know:
Immigrant Ancestor's Name ______________________________ Parish _________________
Family/Farm Name in Hadeland ___________________________ Year of emigration _____
This gift is being given by:
Name _____________________________________________________________________
Mailing Address __________________________________________________________
City _________________________________________ State/Province __________
Instructions
Print the application and fill it out.
Mail it with your check (made out to Hadeland Lag) for the desired membership period.
|
Membership Period |
One Year |
Two Years |
| USA | $15 USD | $25 USD |
| Canada | $18 CAN | $27 CAN |
| International | $25 | $45 |
| Norway | 100 NOK | 200 NOK |
|
Mail completed form and your check to: |
|
|
US,Canada, Int'l David Pfeffer 3083 Lake Shore Avenue Maple Plain MN 55359
|
Norway Kontaktforum H-A Harald Hvattum Achimslinna 4, 2760 Brandbu Norway |