FCC - HOUSTON -- MEMBERSHIP FORM -- PAGE 2
I (We) would be interested in volunteering to serve our group in the following ways: |
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Please give us some indication of your special interests (i.e., cultural events, social events, support for waiting families, single parent, older child, etc.) |
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Are you willing to be contacted by waiting families or other people interested in adopting from China? |
Circle One: YES NO |
May we publish this information in our Membership Directory? |
Circle One: YES NO |
To activate your membership, submit this form and a check for $25.00 payable to Families with Children From China - Vern Warren, Membership Director, FCC-H, 4926 Hickorygate, Spring,
TX 77373. email him or telephone him at 281-353-5622.
For Office Use Only:
Dues - Check # |
Date Paid |
Amount Paid |
Input into Membership Database |
Key Map Page # |
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To print each page of the form, click on the links in the menu to the right. Adobe Acrobat Reader Required
