International Wizard of Oz Club Membership Application Form

Year Joining or Renewing:_________

Basic Membership Dues: (Check or circle)
(  ) USA Resident (18 & over) $25.00________ (  )  Non-USA Resident (18 & over)  $35.00
(  ) Youth (under 18) $15.00  (  )
Non- USA Youth (under 18) Resident  $25.00

Beyond the basic membership in The International Wizard of Oz Club (which includes three issues of the Baum Bugle), many members support the International Wizard of Oz Club by electing special levels of membership. Such special memberships (above $25) are tax deductible to the limit established by IRS regulations for 501(c)(3) organizations.

The special levels are:
Special Membership Dues:
(  ) USA Resident
Contributing: $50.00            (  ) Non-USA Resident Contributing: $60.00
(  ) USA Resident Sustaining: $100.00          (  ) Non-USA Resident  Sustaining: $110.00
(  ) USA Resident Patron: $250.00                (  ) Non-USA Resident  Patron: $260.00
(  ) USA Resident Wizard's Circle: $500.00   (  ) Non-USA Resident  Wizard's Circle: $510.00

All remittances must be in U.S. funds and should be either in the form of a check or money order, or can be made online at www.paypal.com (our user ID is "admin@ozclub.org").

Please make your check or money order payable to
The International Wizard of Oz Club and mail to:

The International Wizard of Oz Club
Department E
PO Box 2657
Alameda, CA 94501

PLEASE PRINT INFORMATION

Name (& age if minor under 18) __________________________________ (Age)_____

Address ____________________________________________________

__________________________________ZIP_________________________

Telephone (       )___________________ Cell (       )___________________

Fax (       )______________________

Email ________________________@____________________________


Enclosed is Ck. # ______ dated _______ in the amount of ________.


(Please include additional memberships on a separate sheet of paper)

From time to time the Oz Club prepares a membership directory. The directory is not intended for commercial use, but in some instances may be used in that way. Check here to be excluded: ____

The International Wizard of Oz Club is run primarily by Club members on a volunteer basis. They produce the Club's magazine The Baum Bugle (three issues per year), Oziana (the Club's annual fiction/poetry publication, which is available for purchase), and other special book publications. The Club also has a salaried staff member who handles both book orders and memberships, working part-time (3 days per week). Generally, those ordering Club items and those who have paid their dues receive merchandise or membership confirmations within thirty days from our receipt.
Questions or comments should be directed to feedback@ozclub.org Please put MEMBERSHIP in the subject line.