Name (required)

Spouse (if not a member)

Address

E-mail (required)

Home Phone

Cell Phone

Your Birthday

Your Profession/Skill

Year Joined

Active ($75)Patron ($150)

Active: Persons who are expected to participate and assist in all organization activities
Patrons: Shall be persons who support the mission of FOCUS and optionally may participate in organization activities.

All Members shall have the right to vote, hold office and propose new members.

Please indicate the Committee you are willing to serve on this year:
CorrespondenceFundraisingHistorianHostess for MeetingsMembershipNewsletterSocial MediaTechnologyTelephone Committee