Membership Application Last Name [Required] First Name [Required] Family（Spouse・Children） *If provided, only your spouse's name will be included in the membership directory. Address [Required] *Example: 123 Main St, Buffalo, NY 14201 Phone Number [Required] *Example: 123-456-7890 Email Address [Required] Membership Fee [Required] Family Member ($20)Student ($10) 【Payment via Venmo】 Venmo ID: @NORIKO-NIEDZIELA ＜How to Pay＞ Scan the QR code on the left with your camera, or search for ID "@NORIKO-NIEDZIELA" in the app. Enter the membership fee amount. In the "What's this for?" field, please enter "Full Name, 2026 Membership Fee". (Required for confirmation.) Tap "Pay" to complete the transaction. *If you don't have an account, you can sign up here. Membership Directory Listing *This information is used exclusively for the annual Membership Directory (published every spring). Please uncheck if you do not wish to be listed. I would like to be listed in the Directory
