Yes, I (we) want to support FCA-GKC and receive information and planning forms. Please send to:

Name(s):____________________________________ Date: _________

Address

Street #:__________________________________________ Apt. #:________

City:__________________________________ State:____________________ Zip:________________

Phone: ( )_______________

E-Mail: (we'll notify you of upcoming meetings.)______________________________

Enclosed is a voluntary contribution of $ ________($25 - $50 suggested).
I understand information and assistance is available to all and am making a contribution of $_______ at this time.
Please send me the complete planning kit @ $10.00. Yes ____ No _____ (free with over $25. donation.)
Total enclosed $________

I would like to volunteer to help: Yes _____ No _____
Call me about sending a speaker to my group: Yes ______ No _____




Print Form

Fill out the form and send to:

Funeral Consumers Alliance of Greater Kansas City
4501 Walnut St.
Kansas City, MO 64111