Required fields are marked with asterisks (*).

Member Information:

Name(s)        * &

Member Last Year?     Yes No*

Address     *

City, State, Zip     *, * * -

Phone     * (XXX-XXX-XXXX)    E-mail     *

Student Information:

Can you help?     Please Select Refreshments Newsletter T-Shirt Sales FOMS Building Rep No   Membership Level     Select One $5.00 Sponsor $10.00 Patron $25.00 Benefactor Other (Please Specify)   Other Amount:    

Please make checks payable to F.O.M.S. and mail to : F.O.M.S.  P.O. Box 1164, Clifton Park, NY 12065.

Also note that dues are tax deductible, as FOMS is a 501(c)(3) organization.