Join Friends of Fiji
for only $15 a year
Name _____________________________________________________
Address ___________________________________________________
City ______________________
State___________________Zip_____________
Tel H ( ) W( )
Email ___________________________________________________________
Employer ________________________________________________________
Service (country/dates/vol or staff): __________________________________________
Assignment _______________________________________________________
____________________________________________________
Membership Category (please check one)
____ Individual FOF only $15.00
____ Family FOF only $22.50
____ Individual NPCA & FOF $50.00
____ Family NPCA & FOF $92.50
If couple, name of second person: _____________________
____ Enclosed is an additional $20 for overseas mail
OPTIONAL DONATIONS
I wish to donate $____ to Friends of Fiji for the following purpose:
____ Dan Cantor Fund
____ Peace Corps Partnership (development projects in Fiji)
____ FOF General Fund
____ Do not share my information with NPCA
____ Do not share my information with local Friends of Fiji groups.
Mail form to: Friends of Fiji
4327 43rd St., NW
Washington, DC 20016