Coalition of Families Membership Application Form

COALITION OF FAMILES
of
KOREAN & COLD WAR POW/MIAs

Dedicated to the fullest possible accounting for our missing servicemen
P.O. Box 7152 Roanoke, VA 24019-0152

Robin Maberry: Director; President
Gerri Montgomery Prescott: Director; Secretary
John Zimmerlee: Director; Information Mgr.
Donna Downes Knox: Director; DC Liaison
Richard Downes: Director

MEMBERSHIP APPLICATION / NEWSLETTER SUBSCRIPTION FORM

The Coalition funds its newsletter and other projects with an annual membership dues of $20.00.
Membership is limited to families of personnel missing from the Korean or Cold War.
Contributors, who are not related to personnel, who wish to subscribe to the Coalition's newsletter for a $20 annual contribution please check the appropriate box on the application below.
An annual membership fee of $20 is due January 1^st. Members and Contributors may join anytime. The first year's membership dues are prorated depending on when you join: Jan. - March $20; April - June $15; July - Sept. $10; Oct.- Dec. $5. Thereafter, renewals are due January 1^st for $20 per year.
We look forward to working with Members and Contributors alike in our mutual search for answers.

Required information is indicated with red text.

I wish to apply for membership. I wish to apply as a contributor.

Full Name: Date (mm/dd/yyyy):

Address:

City: State: Zip:

E-mail:

Please enter phone numbers in the form xxx-xxx-xxxx. Thank you.

Home Phone: Work Phone: Fax:

Contacts/Experience/Skills that might be useful to the Coalition:
Government Research Other

Fund Raising Military/Veterans

Media Computers/Technological

If you are applying for membership please complete the rest of the form.

Service member you are looking for:

Name:

Branch of Service/Unit or Group:

Date and area of loss:

Your relationship to service member:

Reason for joining the Coalition:

To join the Coalition, or to apply as a contributor to the Coalition, please complete the above application, click on the "Finish" button, and use your browser print button to print the form. Send the form and a check in the amount from the following prorated schedule. The first year's membership dues are prorated depending on when you join: Jan. - March $20; April - June $15; July - Sept. $10; Oct.- Dec. $5. Thereafter, renewals are due January 1^st for $20 per year.

Make checks payable to Coalition of Families

Please send application and fee/contribution to:

John Zimmerlee
Information Manager
Coalition of Families
3342 Brickey Ln.
Marietta, GA 30068-3844

If you do not have a printer, please
E-mail: email@coalitionoffamilies.org

Contributions are tax deductable.

Service member you are looking for:
	Name:
	Branch of Service/Unit or Group:
	Date and area of loss:
	Your relationship to service member:
Reason for joining the Coalition: