Membership Application

To enroll, print and complete this page. Then mail it with your check (payable to FCAGL, Inc.) to the address below.

[__] Suggested Donation for Individual Membership: $25.

[__] Suggested Donation for Family Membership and children younger than 22: $40.

[__] Enclosed is an additional $_______ contribution to the FCAGL to help support its consumer education programs.


Name________________________________________________________________

Address______________________________________________________________

City/State/Zip__________________________________________________________

Daytime Phone________________________________________________________

E-mail Address________________________________________________________

Family Membership Names______________________________________________

____________________________________________________________________

____________________________________________________________________

Dates of Birth____________________________________________________________

____________________________________________________________________

____________________________________________________________________


How did you find out about the FCA? _____________________________________

____________________________________________________________________


[__] Please mail a copy of the FCA brochure to:___________________________

___________________________________________________________________

___________________________________________________________________

Spread the word!
If you would like to invite an FCA speaker to make a presentation to your social organization or religious group, call us at (502) 454-4855.

Volunteer!
The Funeral Consumers Alliance of Greater Louisville is a non-profit, all volunteer organization. We depend on our members to take an active part in helping the organization serve members and grow. Can you volunteer a few hours a month to help with some of the following tasks?
[__] Serving on the board
[__] Speakers Bureau
[__] Mailings
[__] Computerize our membership records
[__] Help with mailing and tabulating a survey of area funeral directors
[__] Other ___________________________________________
You may have skills developed in your professional life or through leadership in other organizations that would be of great value to us. Call us!

DO NOT SEND CASH. Complete this form and mail with check or money order to:
FCAGL, P.O. Box 5326, Louisville, KY 40255-5326

(502) 454-4855 • E-mail: Rose Isetti