Please print this form and mail it with your check
2010 Annual Membership Form
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| Address |
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State |
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Zip |
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| Phone (W) |
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(H) |
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| email |
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| ☐ Served in Peace Corps |
Place |
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| Program |
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Years |
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Please check appropriate boxes:
☐ Renewal
☐ Address Correction (please include original label)
☐ New
Dues and contributions fund most of FOT's projects and activities.
Dues are $25 a year ($35 for residents overseas) and contributions
are appreciated, especially in this time of need. Both are
tax-deductible*.
FOT offers a free 1-year membership to newly returned Peace Corps volunteers
and to Togolese Nationals.
Enclosed are my annual dues of
☐ $25* US
☐ $35* overseas
1-year free membership for ☐ newly-returned PCV
☐ Togolese National
Enclosed is my tax-deductible contribution of $__________
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Make check payable to Friends of Togo (FOT) and mail to |
Friends of Togo
P.O. Box 9436
Washington, DC 20016
USA
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*Of the $25 from dues, $22.60 is tax-deductible and $2.40 goes towards
FOT operating costs.
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