Application for SKÅL 2021 Dues Waiver

Full Name (required)

Address

City/Town

State

Zip

Your Email (required)

Phone

e.g. 555.555.5555

Home Skål International USA Club (required)

How long have you been a member of Skål International (required)

Have you been a member of another Skal Club

What Club

Have you ever dropped out of Skal

How many years

Are you currently employed (required)

Self-Employed

Who is your employer

Employer Address

What is your position

If no longer employed, were your furloughed, laid off, job eliminated

Did your employer pay your Skål dues

If self-employed how severely has your income been impacted.

e.g. %of income lost

If you are granted a dues waiver would you remain in Skal in 2022 if employed in the industry?

Please Sign With Your Initials (required)

e.g. Name Sally Doe, initials = SD