Membership is valid from September 1st to August 31. The membership of first time members joining after January 1st will be valid until August of the following year. For further information, call Colette Jowdy at 716 706-0505. Please print the form, fill it out and mail it with your check to: Alliance Française de Buffalo c/o Colette Jowdy 59 Quail Run Lane Lancaster, NY 14086 Full Name: ______________________________________________ Address: ________________________________________________ _________________________________________________________ Home Phone Number: ______________________________________ Work Phone Number: ______________________________________ E-mail address: __________________________________________ How did you find out about the Alliance Française de Buffalo __ online __ friend __ newspaper __ other Alliance _______ Other (please specify) I would like to be included and receive a copy of the Alliance Française de Buffalo directory? (distributed to members only): Yes ___ No __ When do you have the opportunity to speak French (check all that apply) __ Never __ When traveling __ Occasionally in social event __ Occasionally at work __ Regularly in a class or conversation group __ Daily with family As a member, I would like to participate in the following activities
May we contact you If or When we need help with:
Would you like a Board Member to contact you to better acquaint you with our organization, or to answer some question you might have? ___ YES ___ NO Would you be interested in becoming active in the organization? ___Yes ___Not Now ___ No Membership Type (please circle one): Corporate Sponsor $125 Supporting membership $85 Family $50 Individual $40 French Teacher $25 Full Time Students $20 Merci! Make check(s) payable to: Alliance Française de Buffalo Send registration slip and check to: Colette Jowdy Alliance Française de Buffalo 59 Quail Run Lane Lancaster, NY 14086 Merci!
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