Application Form
Membership – Join or Renew 2009
(New members joining after October 1, 2008 will have their membership covered for the year 2009.
Name/s _________________________________________________________ Date _____________
Address __________________________________________________________________________
City ___________________________________ State _______ Zip __________________________
Phone Number __________________________ Cell Phone _________________________________
Email _____________________________________________________________________________
Membership Dues:
New Membership for 2009: $20 Single; $35 Family $__________
Renewal for 2009: $20 Single; $35 Family $__________
Plastic name tag for new members*: $10 each $__________
(Our club’s Newsletter is included with your dues.)
Optional:
Club Handbook & Photo Membership Directory $10 $__________
Friendship Magazine, 4 issues 2009 $10 $__________
Total $ ___________
Make check payable to:
Friendship Force of Florida Suncoast
Mail or give to: Sandra Gourdine
Membership, Friendship Force
1101 Wellington Drive
Clearwater FL 33764
*New Members: Please write your name as you want it to appear on your name tags:
__________________________________________________________________
Thank you