FRIENDSHIP FORCE OF GREATER MILWAUKEE - MEMBERSHIP APPLICATION

Last Name ___________________________________ First____________________ Spouse                                        

Street_______________________________________ City_____________________ State _____ Zip                            

Home Phone___________________   Cell Phone                                                Work Phone                                    

Age range:  (Spouses can average their ages)   Under 35 ­­­­____    Age 36-50 ­­____     Age 51-65  ____      Age 65 + ___     _

Check here if any of your information is new      Yes              E-mail                                                                                   

I am interested in:   home hosting _______    day hosting                 dinner hosting (no. guests)  ______    exchange director  ______    

Committee help ______    driving, (van?)_______________ _____   special events                                                            other                                

Referral source: friend/neighbor             website         media              other                    Check one:  Single ($30)        Family ($38)          

Check one:      New Member                Renewal                              Total amount enclosed                                              

Make dues check payable to:              Friendship Force of Greater Milwaukee (or FFGM)

Send completed application to:            FFGM c/o Dale Harmelink

                                              2911 West Bradley rd., River Hills, WI  53217-2052