UBA-BATUN Letterhead Please join us!

Help us continue and expand our work.
UBA-BATUN
is entirely dependent on its members and donors for its support. UBA-BATUN does not receive support from any government, either directly or indirectly.

To clear all fields Press:
 Your name(s):
 Address:
 Address2:
 City:
State/Province: Zip/Postal Code:
Country (if not USA):
E-Mail address:   (Your E-Mail will not be disclosed.)
Please tell us, are you (check one): Estonian: Latvian: Lithuanian: Non-Baltic:
Why do we ask this? UBA-BATUN consists of Estonian, Latvian and Lithuanian sections, each of which elect three directors, three alternate directors and one auditor.Check the group you feel closest to. All people are welcome to join and become active in UBA-BATUN regardless of national origin.
Please indicate your membership category: Individual: $  40 US / $  55 Canadian
Family: $  60 US / $  80 Canadian
Pensioner: $  20 US / $  27 Canadian
Organization: $125 US / $175 Canadian
Student: $   30 US / $  40 Canadian
If requesting student rate please fill in:
   graduating month: , year:, college/university:
   
Membership dues: $
Additional donation:  $
Total amount: $
Make checks payable to United Baltic Appeal, Inc.
Please PRINT OUT THIS FORM after filling it out and mail it, with your check to:
UBA-BATUN
115 West 183 Street
Bronx, NY 10453
USA
UBA-BATUN is not yet able to accept credit cards or other forms of payment online.

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