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		Ukrainian American Society of Texas
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Membership 
For Families, Individuals, Students, Seniors & Businesses

Yes!  I would like to renew/ become a new member of the Ukrainian American Society of Texas 

Make checks payable to UAST and mail to Viktor Baryshev, 1520 Kelly Ln., Royse City, TX 75189.

DATE: ________________

NAME: (please list the names of all family members)

_________________________________________________________________________________

_________________________________________________________________________________

ADDRESS: ______________________________________________________________________

City___________________________________________Zipcode_______________

PHONE: ___________________ EMAIL: ______________________________________

q     Please note here any information you do not wish to be published

We will include the following information in our annual membership directory:

Names of the members in your family, your city and a phone and /or email contact number.

This information is for distribution only to UAST members.

qSingle Membership  $25

qStudent or Senior Membership  $10 (w/ copy of valid I.D.)

(Note: children under age 18 may be added to Single or Student/Senior membership fees at the rate of $10/per child.  Student or Senior families may add spouse for $10)

I would like to help UAST

q     By s serving on the board

q     Malanka

q     Spring Picnic

q     Taras Shevchenko Tribute-poetry readings

q     Independence Day Celebration

q     Festival Booth

q     Sviata Vechera

q     Pysanky Workshop

q     Other _____________________

Ukrainian American Society of Texas is a nonprofit organization established to promote Ukrainian culture and serves as a resource for its members and our Texas community.