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Friends of Hope Membership Registration
Member Information
Interests
Payment
Review
Member Information
I will join the Friends of Hope with a gift of:
$50 Annual Membership Dues
$200 Benefactor Support, Includes Annual Membership and Acknowledgment in Directory
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I am renewing and have no changes to make.
I am renewing and have changes to make.
I am a new member registering for the first time.
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Title
<Select>
Mrs.
Ms.
Miss
Dr.
<Other>
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Other
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First Name
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Last Name
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Preferred Phone Number
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Preferred Email Address
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Husband's Name (if applicable)
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Florida Mailing Address
Street Address
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Apt #
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City
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State
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Zip Code
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Do you receive mail at this address year round?
Yes
No
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Summer Mailing Address
Please enter the temporary address forwarding information you filed with the US Postal Service.
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Start Date
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End Date
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Street Address
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Apt #
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City
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State
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Zip Code
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