JOIN SIGDALSLAG  
Date ______________
Full Name(s) _____________________________________________________
   Street    _____________________________________________________
             _____________________________________________________
   City      ____________________  State ______   Zip ____________

   E-mail    _________________________   Phone ___________________
  BUSKERUD family origin in:   SIGDAL    EGGEDAL    KRØDSHERAD
                               (circle those that apply above)
Emigrant Ancestor's Name  ________________________________________
Farm Name        _________________________________________________
Year emigrated   ____________________
Dues for three issues JAN-DEC  (two adults at same address)
         US / CANADA    $10/YR  OR   $25/3 YR IN US$
         ELSEWHERE      $12/YR  OR  $30/3 YR, also in US dollars.
Make checks payable to:   Sigdalslag
Print this page and mail with check to:  
     Lila Harp     Sigdalslag Vice President - Membership
102 W Calle de Caballos
Tempe, AZ 85284