Friendship Force of Connecticut Membership Application

The Friendship Force of Connecticut Application

?	Membership Application Form We are pleased to learn of your interest in joining our organization. Please fill out this form and submit online or print it and send to: Martha Schwartz 65 Hickory Hill Road Simsbury, CT 06070-2832

Last Name:First Name:Middle Name: Home Address: City:State:ZIP Code: Home Phone:Home E-mail:Home FAX: Work Address: City:State:ZIP Code: Work Phone:Work E-mail:Work FAX: PLEASE CHECK AT LEAST ONE BOX: Single Membership ($25) Family Membership ($30) Quarterly Magazine ($10) CHECK THE BOXES BELOW THAT TELL US YOUR INTERESTS: Hosting Ambassadorship Exchange Directing Publicity Activities Planning Management(Board of Directors) Membership Support Recruiting Committee Activities THANK YOU FOR YOUR INTEREST