Membership Form Page Religious Name Secular 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 SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Phone*Birth Date* MM slash DD slash YYYY Are you over the age of 18?* Yes No Type 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 Purpose Oak Leaves Subscription* Include a subscription to ADF's Publicaiton Oak Leaves Do not include an Oak Leaves Subscription If 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 card Send me an ADF membership card Total Due $0.00 You will be redirected to paypal for this secure transaction.