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FEE:

Member / Annual: $20.00 Member / Lifetime: $200.00

FILIPINO COMMUNITY, INC.

251 S. Franklin Street, Juneau, AK 99801

Phone: (907) 586-4116 Website: filcomalaska.org

FB: www.facebook.com/FilComAlaska

MEMBERSHIP APPLICATION

GM: General Member is an individual of Filipino descent or who is married to a Filipino. Must be 18 years or older.

HM: Honorary Member is an individual of non-Filipino descent or who is not married to a Filipino.

SC: Senior Citizen is a member who is 65 years or older.

Circle GM - HM – SC

PLEASE PRINT CLEARLY

Children: Under 18 years old

Last Name

First Name

M

Birth Date

Age

We are interested in helping with (check all that apply)
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