DVG America Membership Application
Midwest Region (USA - AR, IL, IN, IA, KS, KY, LA, MI, MN, MO, NB, ND, OH,OK, SD, TN, TX, WI & CANADA - MB)

Sammelgruppen Membership (Membership-at-Large) entitles you to:
(1) Participate in local trials. (2) Scorebook(s) at no charge (3) Subscription to DVG America Magazine.  Members-at-Large may not compete in Regional (KG) and National (LV) Championships.

Upon approval of your application, information of further participation will be forwarded to you.

Your Name __________________________________________________________

Street Address _______________________________________________________

City __________________________________ State/Province __________________

Zip/Postal Code ________________________ Country _______________________

Telephone Number________________________ Birth Date ____________________

E-mail Address_________________________________________________________

Previous DVG Membership Date & No., if any ________________________________

Your Signature ____________________________________ Date _______________

To apply as an Individual Member from the Midwest Region send the above information along with check* payable to MIDWEST KG to:

Nancy Schick, Treasurer
2849 Laclede Station Road
Maplewood, MO 63143
(314) 791-5242
e-mail: nschick@charter.net

*Dues are paid on a calendar year, not on a twelve month basis, as follows:
Individual Membership Dues Schedule

Time Period

Dues*

January - December(2007)

$ 118

April - December

$ 103.50

July - December

$ 89.00

October (2007) - December**(2008)

$ 74.50+$ 78.00** = $152.50

* Add a $ 12.00 per year surcharge if the magazine is delivered to a Canadian address.
** Note: Due to the early renewal date with Germany, membership applications from October through December cannot be accepted without payment for the following year's dues.
When you apply for new membership, pay the dues for the calendar quarter in which you are applying (see above note).
Subsequent years will be based on the calendar year (Jan 1 - Dec 31); members will be billed for the following years in late summer or early fall.
Via DVG web site