Membership Benefits a monthly newsletter discounts for events access to Polish-Language classes access to our library endless opportunities to share and promote Polish culture Annual Dues due at the beginning of each calendar year Family - $40 Individual - $25 Seniors over 70 - FREE New Immigrant - 1st year FREE Pay Dues Online Family Membership for 2010 One year - $40 For two years, select "quantity 2". You can pay using your PayPal account or your credit card. Individual Membership for 2010 One year - $25 For two years, select "quantity 2". You can pay using your PayPal account or your credit card. Application for Membership You can apply online or mail-in a paper form. Online: 1) Fill in the form. Fields with an * are required. 2) Print this page for your records. 3) Press the 'Submit Form' button. 4) You should receive a confirmation page that your application has been received. Note: IF YOU DO NOT RECEIVE A CONFIRMATION, the server could be down. This happens occasionally - in which case please try again later. First Names of Adult(s)* Last Name* Street Address* Address 2 City* State* (International) ALABAMA ALASKA ARIZONA ARKANSAS CALIFORNIA COLORADO CONNECTICUT DELAWARE DISTRICT OF COLUMBIA FLORIDA GEORGIA HAWAII IDAHO ILLINOIS INDIANA IOWA KANSAS KENTUCKY LOUISIANA MAINE MARYLAND MASSACHUSETTS MICHIGAN MINNESOTA MISSISSIPPI MISSOURI MONTANA NEBRASKA NEVADA NEW HAMPSHIRE NEW JERSEY NEW MEXICO NEW YORK NORTH CAROLINA NORTH DAKOTA OHIO OKLAHOMA OREGON PENNSYLVANIA RHODE ISLAND SOUTH CAROLINA SOUTH DAKOTA TENNESSEE TEXAS UTAH VERMONT VIRGIN ISLANDS VIRGINIA WASHINGTON WEST VIRGINIA WISCONSIN WYOMING Zip Code* Country* Home Telephone* Work Telephone Mobile Telephone Email What are your special interests in the club? (check all that apply) Children's Polish Language Classes Adult Polish Language Classes Adult English Classes Polish History and Culture Social functions Polish Dancing Education in the Community Young Adults Programs Folk Crafts Art, Music, Film, Theater Other List children under 18 How did you hear about the club? Polish roots Family & Ancestral Surnames, Place of Birth or Primary Residence Membership type (choose one)* Family - $40 Single - $25 Senior over 70 - free New Immigrant (1st year) - free   By paper mail: 1) Fill out the Membership Form 2) Mail the filled membership form and fee (preferably check) to: PAC P.O. Box 33635 Raleigh, NC 27636 To open the Membership Form you will need the free Adobe Acrobat Reader. If you do not have Acrobat Reader, you can get it for FREE here