Membership Form
Make checks payable to AFPAG. Mail to:
AFPAG
c/o Verdell Daniels
101 Windsor Road
Savannah, GA 31419
Please fill in all spaces below:
| Name(s): | _________________________________________________________________ |
| _________________________________________________________________ | |
| Address: | _________________________________________________________________ |
| County: | _________________________________________________________________ |
| City: | _____________________________________ State: ____ Zip: ____________ |
| Telephone(s): | _________________________________________________________________ |
| Company & Occupation: | _________________________________________________________________ |
| Role: (Adoptive Parent, Foster Parent, DFCS Worker, Other) |
_________________________________________________________________ |
| Would you be interested in serving on a committee? Yes ____ No ____ | |
| The membership fee is $15.00 per person or $30.00 per family. Membership Year Jan. 1 - Dec. 31. | |
| Amount Enclosed: | $_________ |
Thanks for joining AFPAG!