Membership
Application
Please
print this application and enclose a check or money order payable
to FCAGR.
Mail to:
Funeral Consumers Alliance of Greater Rochester
220 Winton Road South
Rochester, New York 14610
Amount enclosed:
$35
$50
Other____________
Name__________________________________________________________
Spouse/Partner__________________________________________________
Telephone______________________________________________________
Address________________________________________________________
City,
State, Zip +4________________________________________________
Email__________________________________________________________
Name
and relation of other (dependent) adult included in membership
_______________________________________________________________
I want to volunteer to assist with:
The Newsletter
Clerical work
Speaking
Other _____________________________________________________
_______________________________________________________________
I
learned about the Alliance from______________________
Please
send ____ brochures for me to distribute. |