Page 128 - Fall2012
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Membership







               Yes!    I would like to join the Weston A. Price Foundation and benefit from the timely information in
                      WiseTraditions, the Foundation’s quarterly magazine!
                      _____Regular  membership     $40                  _____Canadian  membership           $  50
                      _____Student membership      $25                  _____Overseas (credit card payment only) $ 50
                      _____Senior membership       $25 (62 and over)

               Yes!    I would like to help the Weston A. Price Foundation by becoming a member at a higher level of support.
                      _____Special membership $100        _____Benefactor membership $1,000
                      _____Sponsor membership $250        _____Millennium membership $10,000
                      _____Patron membership $500         _____Other $_____

               Yes!    Count me in! I would like to help spread the word!
                      Please send me___________copies of the Weston A. Price Foundation informational brochure at $1.00 each,
                      so I can pass them along to my family, friends and colleagues, and be true to Dr. Price’s dying words:
                                            “You teach, you teach, you teach!”
                             (Health professionals are encouraged to provide this brochure to their patients.)


               Yes!    I would like to provide my family and friends with the gift of membership in the Weston. A Price Foundation.
                                            (Please attach information on gift memberships.)
                      _____Regular gift membership(s) $40
                      _____Student/Senior gift membership(s) $25
                      _____Canadian and overseas gift membership(s) $50

               Yes!   _____Please send me details about starting a Weston A. Price Foundation local chapter in my community.


               I’m enclosing $______for brochures and $______for ____annual membership(s), a total of $________

               Payment method:______Check or money order (Please do not send cash) _______Mastercard ________Visa

               Card Number:___________________________________________________Expiration Date:_________________________

               Name (Mr)(Mrs)(Mr&Mrs)(Ms)(Miss)(Dr):_____________________________________________________________________


               Signature:______________________________________________________________________________________________

               Address:________________________________________________________________________________________________

               City:___________________________________________________________State:____________Zip:____________________

               Phone:_________________________________________Email___________________________________________________
                                             Please copy or remove this page and fax or mail to
                                                     The Weston A. Price Foundation
                                     PMB #106-380 4200 Wisconsin Avenue, NW Washington, DC 20016
                                                           FAX: 202-363-4396
                                                       TELEPHONE: 202-363-4394
               128                                        Wise Traditions                                    FALL 2012                   FALL 2012                                  Wise Traditions





         101665_text.indd   128                                                                                      9/14/12   1:33 AM
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