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FIL-AM APPLICATION FORM
http://www.fil-am.50megs.com/
Please Slow Mail your payment to:

Camden County FIL-AM Association
101 St. James Place/ Kings Bay, GA 31558

Membership: Per Family $25.00, Single $15.00
Student and Senior Citizen $10.00

I am a new member/ I am renewing my membership

The information that you provide here will "NOT" be used without your permission to announce information such as birthdays, Anniversaries, photos in our newsletter and web page. These information only helps us to better understand the make up of the membership which will shape future goals. You are NOT required to fill in all the blanks on this form if you do not want to. You can submit the form electronically or you can print the form and submit your application together with your membership fee.

Applicant's Name : Date of Birth: *	Spouse's Name: Date of Birth: *
Street Address: *	City/State/ Zip *
Home/ Work Phone: *	E-Mail/ Web URL *
Wedding Anniversary Date: .	Child Name: Relationship: Date of Birth: .
Child Name: Relationship: Date of Birth: .	Child Name: Relationship: Date of Birth: .
Child Name: Relationship: Date of Birth: .	Child Name: Relationship: Date of Birth: .
Name: Relationship: Date of Birth: .	Name: Relationship: Date of Birth: .

I am available to help with Fil-Am Activities .	My spouse is available to help with Fil-Am Activities .
My children are interested in Fil-Am Activities . .	I am interested in or desire to learn about: . or interested to be an Fil-Am Officer:

Do you want the information that you provided be used by Fil-Am or published in the WEB PAGE.