Membership Application Please enable JavaScript in your browser to complete this form.Name *FirstLastPhone Numberindividual 1 phone numberEmail *Your emailBirthdayYour BirthdayAddressStreet AddressCityStateAlabama - ALAlaska - AKArizona - AZArkansas - ARCalifornia - CAColorado - COConnecticut - CTDelaware - DEFlorida - FLGeorgia - GAHawaii - HIIdaho - IDIllinois - ILIndiana - INIowa - IAKansas - KSKentucky - KYLouisiana - LAMaine - MEMaryland - MDMassachusetts - MAMichigan - MIMinnesota - MNMississippi - MSMissouri - MOMontana - MTNebraska - NENevada - NVNew Hampshire - NHNew Jersey - NJNew Mexico - NMNew York - NYNorth Carolina - NCNorth Dakota - NDOhio - OHOklahoma - OKOregon - ORPennsylvania - PARhode Island - RISouth Carolina - SCSouth Dakota - SDTennessee - TNTexas - TXUtah - UTVermont - VTVirginia - VAWashington - WAWest Virginia - WVWisconsin - WIWyoming - WYZipDUES: $45 Individual, includes initial membership badgePlease complete this application and make your check out to Friendship Force of NE Ohio and mail to: Friendship Force of Northeast Ohio c/o Lori Adler, 6912 Sutherland Court, Mentor OH 44060Sharing My Time and Talents. I / we would like to play an active role with FFNEO.YesNo, I don't have the time right now.Journeys (check all that apply)Serve as Journey CoordinatorServe as Assistant Journey CoordinatorServe on Journey Planning TeamServe as Home HostServe as Dinner HostServe as Day HostLeadership (check all that apply)Serve as PresidentServe as Vice PresidentServe as SecretaryServe as TreasurerServe as Board At-LargeServe on Nominating CommitteeMembership (check all that apply)New-member welcome packetsOrdering name badges for new membersCommunication (check all that apply)Assist with FFNEO Web siteAssist with FFNEO NewsletterCreate and manage Facebook for FFNEOSocialSelect / manage luncheon venues and RSVPsPublicityI have ideas for club growth and recognitionMy special interests, talents, skills (foreign languages, computer, graphics, etc.)PhoneSubmit