Alliance Française du Comté de DuPage
Membership Form
Membership is renewed annually, each October. Renewals should be submitted beginning in August, but no later than October 31. Any new membership acquired after April 30th of a given year will be valid through October of the following year.


Please make checks payable to:
Alliance Française of DuPage County
c/o Diane Hoffmeyer, Treasurer
P.O. Box 3992
Naperville, IL 60567-3992
For Administrative Purposes:
Check #
Date Processed:
MEMBERSHIP TYPE
Individual - $25
Retiree, Individual - $20
Student - $10
Couple/Family - $40
Retiree, Couple/Family - $30
Additional
Donation: $_______
Not Tax Deductible
APPLICATION INFORMATION
Member(s) Name(s): _______________________________________________________________
  _______________________________________________________________
Address: _______________________________________________________________
  _______________________________________________________________
Telephone: _______________________________________________________________
E-mail: _______________________________________________________________

CONTACT PREFERENCES
Select as many as apply.
If you select e-mail, you will automatically receive our annual calendar electronically.
Mail
E-Mail
Telephone

AF DuPage does not share member contact information with outside parties.
NEW MEMBERS

How did you find out about Alliance Française? ___________________________

As always, check the website for the current AFD program - www.afdupage.com. And please add any comments or questions on the reverse of this form. We are interested in what events and benefits you would like to see AFD offer or what you've thought of events we've had in the past. Please share your views as we strive to serve the membership to the highest degree possible. Merci!