Friendship Force of Dayton 2009 Membership

January - December 2009

___ Renewal ___ New ___ Just Keep Me Informed for Now

Please review your contact data below for current e-mail and phone numbers. Your information will be published in the 2009 Friendship Force of Dayton Member Directory and will not be shared with other organizations.

List below names and relationships of any other immediate family members to be included in a Family Membership:    Name                                                    Relationship                                    ____________________________________________________ ____________________________________________________

*Your additional donation to Friendship Force of Dayton will help offset increased costs of printing and mailing and create new program opportunities. Thank you for your support of Friendship Force of Dayton!

Sharing My Time & Talents I / we would like to play an active role in creating a �World of Friends� in 2009. I / we can help with.... Exchanges ___ Serve as Exchange Director ___ Serve as Home Host ___ Serve as Day Host ___ Serve as Dinner Host Communication ___ Serve on FF Speakers Group ___ Assist with FF Website ___ Assist with FF Newsletter ___ News Media Liaison ___ Liaison w/ Community Groups ___ Write Articles for Newsletter ___ Make Phone Calls to Members ___ Prepare Member Mailings FF Social Activities ___ Plan Annual Meetings, Dinners ___ Social Event Set-up, Hospitality Leadership ___ Serve on the FF Board Other ___ Help on Short-term Projects My special interests, talents, and skills (foreign languages, computer, music, graphics, etc.) _____________________________ _____________________________ _____________________________ _____________________________ _____________________________ My comments and suggestions _____________________________ _____________________________ _____________________________ _____________________________ _____________________________

Please return this statement with your check to: Friendship Force of Dayton PO Box 291992 Dayton, OH 45429-1992 Building Global Goodwill through Personal Friendships in 2009

Name Family Member 1: Last __________________ First ______________ Middle _________ Name Family Member 2: Last __________________ First ______________ Middle _________ Address 1 ________________________________________________ Address 2 ________________________________________________ City ______________________ Zip Plus 4 ____________ E-mail ____________________________________________________ Phone 1 _____________________ Phone 2 ____________________

Contribution Type	Contribution
Family Membership @ $40
Individual Membership @ $35
*Additional Tax Deductible Contribution to Friendship Force of Dayton
Total Contribution