Membership Renewal/Application
P.O. Box 2579 Washington, DC 20013-2579
Membership Renewal/Application
P.O. Box 2579 Washington, DC 20013-2579
Name:
_________________________________________________________________________
Street: __________________________________________________________________________
City: ____________________________
State: ________ Zip: __________________________
Home
Phone: ____________________ Work Phone: ________________________
Fax:____________________________ Email:______________________________
Current
Occupation: ______________________________________________________________
Employer/School: ________________________________________________________________
Experience in Morocco: (PCVs list Peace Corps job; Academics: list field and research topics;
Moroccans: list profession or field of study) ____________________________________________
______________________________________________________________________________
Years in Morocco: 19__ to 19__ Site/Hometown: _______________________________________
Permission granted to print the above information in the FOM Newsletter _______ Yes ______No
Areas
of Interest: Check potential FOM Activities in which you would be
most interested:
__ Newsletter
__ ReUnions/Gatherings
__ Trips to Morocco
__ Development Education
__ Hospitality
__ Speaker's Bureau
__ Fund raising
__ Putting PCVs/Moroccans back in touch
__ Local FOM Chapter
__ Career and Readjustment Services
__ Recruiting PCVs
__ FOM Officer/staff position
Other
__________________________________________________________________________
We need your support for the Friends of Morocco Newsletter and other
FOM objectives. Complete this form and return it with your check. Show
address and other changes as appropriate. Membership categories appear below.
The joint membership category provides for annual membership in Friends of Morocco
and the National Peace Corps Association (NPCA). NPCA members receive
the quarterly magazine World view, the newsletter 3/1/61, the
National Convention, credit cards, Congressional representation, and other benefits.
NPCA and FOM dues and contributions can be tax deductible.
JOINT MEMBERSHIP IN FRIENDS OF MOROCCO AND NPCA
Individual Friends of Morocco and NPCA membership
$50.00____
Dual FOM and NPCA Memberships (two persons, one address)
$65.00____
MEMBERSHIP IN FRIENDS OF MOROCCO ONLY
Individual Friends of Morocco membership
$15.00____
Dual FOM Membership (two persons, one address)
$20.00____
Additional tax-deductible donation to Friends of Morocco Thank you!! $_________
TOTAL AMOUNT ENCLOSED (payable to Friends of Morocco) $_________
Friends of Morocco Membership Renewal/Application Page 2 ___________________________________________________________________________
We like to keep an update on our members. Please answer the following questions.
1. Briefly, What have you done since leaving Peace Corps? What are you doing now?
2. What projects or programs would you like to see FOM involved in (either in the U.S. or Morocco)? Can you help?
3. What news features would or do you like in the FOM newsletter?
The information collected on this form will be used by FOM and will be made available only to those organizations whose purposes are consistent with the aims of FOM. It will not be sold or traded for commercial purposes. The information may be used in the FOM Directory unless you request otherwise.
