Calendar orders: please fill our your information and check the calendar box on the order form below
Name(s) _________________________________ Date: _______________________________
Address _______________________________________________________________________
City/ State ________________________ Phone (h) ________________________________
Zip ________________________________ Phone (w) ________________________________
E- Mail Address _______________________________________________________________
Connection to Niger (RPCV, etc.) ______________________________________________
Dates in Niger _____________________ Location in Niger ________________________
Program or Involvement in Niger _______________________________________________
_______________________________________________________________________________
Membership Dues & Contributions help fund FON Activities - including The Camel
Express, the FON website, Archives, and Projects such as Those Listed Below.
The Friends of Niger is a tax-exempt organization under section 501(c)(3) of the
Internal Revenue Code. Contributions to Friends of Niger are fully tax deductible.
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Please Check Appropriate Boxes
[ ] Enclosed is $20 for an Individual Membership in FON
[ ] $55 to cover Individual Membership in both FON & NPCA
[ ] Enclosed is $35 for a Family Membership (2 Members at One Address)
[ ] I am a current Niger PCV, entitled to Free Membership
[ ] I am a New RPCV, entitled to a 1-Year Free Membership
New and renewing members are entitied to one FREE copy of Brother from Niger
Format Choice: DVD ____ VHS ____ No Thanks ____
[ ] In Addition to my Membership, I have enclosed
a General Contribution of ........................................ ________
[ ] Instead of Joining FON at this time, I have enclosed
a General Contribution of ........................................ ________
[ ] I want to support FON's Young Girls' Scholarship Program activities
with a Contribution of ........................................... ________
[ ] I want to support FON's Microcredit in Niger activities
with a Contribution of ........................................... ________
[ ] I want to support FON's Appropriate Technology activities
with a Contribution of ........................................... ________
[ ] I want to support FON's Youth Education activities
with a Contribution of ........................................... ________
[ ] I want to support the FON Chewable Vitamin Campaign
with a Contribution of ........................................... ________
[ ] Please send _____ 2008 International Calendars
$12 each (shipping included)
2 or more for $10 each if going to same address .................. ________
[ ] Please send _____ copies of Brother from Niger/DVD
Format Choice: DVD ____ VHS ____
at $20 (2 for $35) (Shipping Included) ........................... ________
[ ] Please send _____ Friends of Niger T-Shirts
at $18 each (Shipping Included) .................................. ________
T-Shirt Sizes: S ____ M ____ L ____ XL ____
TOTAL AMOUNT ENCLOSED ................................................ ________
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Make Check or Money Order Payable to Friends of Niger and mail to:
P. O. Box 5823, Washington, D. C. 20016-9998
Please complete and enclose this membership form.
FON Participation Menu
Indicate your interest with a check mark, or add something new in the space below.
[ ] Will help set up a local FON group
[ ] Would participate in a local FON group
[ ] Will be local FON contact person
[ ] Will be FON contact person for potential PCVs to Niger
Other: _________________________________________________________________________
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