Please TYPE or PRINT
Application Date
Name (1)
Birth Date (1)
Name (2)
Birth Date (2)
Address (street) (city) (zip code)
Home phone
Fax #
E-mail
Occupation (former, if retired)
Languages spoken
Hobbies or special skills
How did you discover The Friendship Force? Was it a Friendship Force member? What is their name?
Volunteers are the backbone of The Friendship Force. What types of projects interest you?
New, individual membership (1 name badge included), $41
$
New, dual or family membership (2 name badges included), $62
Renewing, individual membership, $30
Renewing, dual or family membership, $40
Additional name badges, $11 each. Print names below:
Name: Name:
Total Enclosed:
MAKE CHECKS PAYABLE TO: THE FRIENDSHIP FORCE OF LOS ANGELES
Note: Complete, Print, Mail.
Send your check and the completed application to:
Sharon Levy
12202 Cantura St.
Studio City, CA 91604
(818) 623-7644
sharon345@roadrunner.com
This form was last updated on March 11, 2010.