Table for Membership dues
  Membership Dues (Please check one)    
Printed checkbox Business / Organization $10.00  
Printed checkbox Individual $5.00  

Table for contact and volunteer information
Printed checkbox Please keep me informed about upcoming F.O.L.K. meetings and activities
Printed checkbox Please contact me about volunteer opportunities
Printed checkbox I am interested in a Board or Committee position
 

primary member name  

 


address  

 


city, state, zip code  

 
Printed checkbox home:                                        Printed checkbox work


phone numbers ( please place a check next to the phone you would prefer us to contact you)  

 
from:                                        AM/PM              To:                                        AM/PM


best time to call  

 


E-mail address  

 


Please list additional name(s) for familities, or business/organization name  

 


Aostage stamp
F.O.L.K. Mailing Address
Your Email address lines