Become a MemberFamilies: $50 Singles & Singles +1 person: $50Students Ages 18-25: $25 75 and up: Free Member's Name * First Name Last Name D.O.B. MM DD YYYY Spouse's Name First Name Last Name D.O.B. MM DD YYYY Address Address 1 Address 2 City State/Province Zip/Postal Code Country Phone (###) ### #### Email * Number of Children Name(s) and D.O.B of Children (xx/xx/xxxx) What is your Basque affiliation/Heritage? Thank you for submitting your membership form. You will be contacted for payment after the Board of Directors approves your application.