Membership Enrollment/Renewal Form

Print this page and send it with a check or a credit card payment (we accept Visa/MasterCard) to:

Network of Biblical Storytellers
1000 West 42nd Street
Indianapolis IN 46208-3301
1-800-355-NOBS
317-931-2352
317-931-2399 FAX

Year _____________________________________________________________

Name ____________________________________________________________

Address __________________________________________________________

City/State/ZIP _____________________________________________________

Phone ____________________________________________________________

E-mail ____________________________________________________________

Faith Tradition______________________________________________________

Occupation ________________________________________________________

How did you hear about us ____________________________________________

Check Level Amount Membership Benefits
______ Basic $40.00 Student, Senior (over 65) or International Member. NOBS newsletter subscription
______ Standard $75.00 NOBS newsletter subscription and Journal subscription
______ Family $100.00 One subscription to NOBS newsletter and Journal but two votes at the membership meeting
______ Institutional $200.00 NOBS newsletter / Journal subscription for an institution

Total amount enclosed: _____________________________________________

Please make checks payable to NOBS:

Please charge my _____ MasterCard _____ Visa

Card # __________________________________________________________

Expiration Date ___________________________________________________