Farmington Families In Action
Annual Membership Application
Name: __________________________________________
Address: ________________________________________
City, State, Zip: ___________________________________
Phone: __________________________________________
_____ General $15.00
_____ Supporting $25.00
_____ Sponsor $50.00
_____ Patron $100.00
|
Make your tax deductible contribution payable to Farmington Families In Action
and mail to:
Treasurer, F.F.I.A.
P.O. Box 3273
Farmington Hills, MI 48333
With your membership, you will recieve a free copy of the newsletter.