The Friendship Force of Los Angeles
Membership Application
  

Please TYPE or PRINT

Application Date    

Name (1)

Birth Date (1)   

Name (2)

Birth Date (2)   

Address    
                    (street)                                                                            (city)                                                        (zip code)

Home phone

Work phone   

           Fax #

Cellular phone   

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?

   Activities planning Hospitality Newsletter
   Historian Party planning Mailings
   Publicity Interviewing  Membership 
   Telephoning  Computers Fund raising
   Day hosting Home hosting Workshops
Please, make your membership selection(s) below:

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.