Individual Membership Form

I am: Becoming a NEW MemberRenewing my Membership

I would like to be a: Individual $20.00

Members Full Name: (required)

Members Address: (required)

Members City: (required)

Members State: (required)

Members Zip: (required)

Members Phone Number: (required)

Email (required)

Re-Enter Email (required)

(needed to get information from FOML or check www.foml.org often for newsletters & workshop information.)

Be a Friend to your friend; give a gift membership:
If this is a gift, please provide your:

Full Name:

Email:

Yes! I am interested in becoming a Board MemberYes! I am interested in becoming a Volunteer