NAN Home Page Assembly Exemplary Certification Programs Membership NANthology Permanent Collection Lifetime Achievement Award In Memoriam Free Patterns Angel Fund Circle Fund Needlework Links Contact NAN	Membership Application We now accept Visa and MasterCard First Name: Last Name: Address: City, State (or Province): Zip (or Postal) Code: Country: Day Phone: Evening Phone: Email Address: Where did you learn about the NAN Web site? Check One: ______ Friend of NAN Donation of $25.00 or more ______ Associate Member  $25.00 ______ Graduate Member  $35.00 ______ Life Member  $500.00 Payment Method: _______ Check _______ MasterCard _______ Visa Number: ______________________________ Expiration Date: ________________________________ Signature:______________________________________ Payments must be in US dollars drawn on a US bank, or in international postal money orders in US dollars.  Mail the completed application form and your payment to: National Academy of Needlearts Dawn Donnelly 52806 Stags Ridge Macomb MI 48042

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