MEMBERSHIP APPLICATION 2007/2008
NEW
(circle one) RENEWALNAME___________________________________________
ADDRESS________________________________________
CITY_________________STATE___________ZIP_______
PHONE:(W)_________________(H)___________________
CATEGORY:
Patron____ ($150), Sponsor ____($80), Family ____($50)
Regular____($30), Student____($10).
We are a 501(C) organization (not for profit). Make checks payable to:
Florida Free Speech Forum, and mail to: P.O. Box 357104, Gainesville, Fl 32635.