Membership Form Page Religious NameSecular Name* First Last This is required for membership registration. This is your legal name.Email* Enter Email Confirm Email Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Phone*Birth Date* Are you over the age of 18?*YesNoType of Membership*Leaf Membership ($25/year - Sponsorship of CedarLight Grove only, not a voting member)Acorn Membership ($55/year - New membership including ADF, or expired for more than one year)Oak Membership ($55/year - Renewal membership including ADF, expired less than one year)If you are a new member applying for our initial acorn membership, you will undergo a 6 month probationary period with a mentor to help guide you while learning about CedarLight Grove. Once that 6 month probationary period is over, the mentor will recommend your membership to the Witan, who will then vote you in as a full Oak member. If paying in increments, once the full amount is paid, we will also pay for your ADF membership. Once you are a full voting Oak member, your yearly membership fee is always $55 which also always includes your yearly ADF renewal. You cannot vote in elections until the full amount is paid and you?ve met all the membership requirements. If applying for a volunteer or compassionate membership, we cannot pay your ADF membership for you. Please consider donating more if you can. Checks or money orders should be payable to “CedarLight Grove, ADF”. Your membership includes CedarLight Grove?s quarterly publication “Walk with the Old Ones” but does not include ADF?s quarterly publication “Oak Leaves” (must be purchased separately or add an additional $20 for a subscription to “Oak Leaves”).Additional Donation If any extra donations are made, denote what they should go towards (if applicable)Additional Donation PurposeOak Leaves Subscription*Include a subscription to ADF's Publicaiton Oak LeavesDo not include an Oak Leaves SubscriptionIf this is a new membership, where did you hear about us?Membership Card:Please save trees and postage, and don't send me a new ADF membership cardSend me an ADF membership cardTotal Due $0.00 You will be redirected to paypal for this secure transaction.