German Heritage Circle, Inc.
Asheville, North Carolina
www.germanheritagecircle.org

Membership Application/Renewal Form
(Please print)


Name: 
 
 

Last First Middle initial


[Marital Status]   Married: 
 
 
  Single: 
 
 



Name of Spouse: 
 
 



Name(s) of dependent children: 
 
 



Street address: 
 
 



City: 
 
 
  State: 
 
 
  Zip Code: 
 
 



Phone #: 
 
 
  E-mail address: 
 
 



I agree to pay the membership dues, which are presently as follows:
Single membership: $30
Family membership: $50
(Membership for calendar year)
Students and teachers of German history and language are free



Signature: 
 
 
  Date: 
 
 



Make your check payable to: German Heritage Circle, Inc.

Mail this form and check to:
German Heritage Circle, Inc.
c/o Mr. Raymond Engel
50 Alpine Way
Weaverville, NC 28787


Received by: 
 
 
  Date: