Filipino-American Association of the Inland Empire

Membership Form

Filipino-American Association of the Inland Empire

Membership Application Form

$15.00 a Year per Family
Print,  fill out & mail to: Nelly Christoffersen 705 W. Ivanhoe Rd. Spokane, WA 99218

Name __________________________________________________________

Spouse_________________________________________________________

Address_________________________________________________________

_______________________________________________________________

Home Phone_____________________________________________________

Cell Phone_______________________________________________________

Email___________________________________________________________

Area(s) of Interest__________________________________________________

________________________________________________________________

Talents or Skills We May Call Upon

________________________________________________________________

Province and Dialect________________________________________________

________________________________________________________________

Names of Children_________________________________________________

________________________________________________________________

Will you allow the FAAIE publish your name and contact information in our annual directory   YES________  NO _________

 

---