If you would like to see this work continue, please join us in the Association or if you are already a member please don’t forget to renew your membership.

NAME:___________________________________________________

                                                (PLEASE PRINT)

ADDRESS:________________________________________________

CITY:________________STATE:______________ZIP CODE:______

TELEPHONE:________________________

NEW MEMBER:______________     RENEWAL:_______________

Annual membership runs from July 1 to June 30. Dues categories are as follows:

          Student/Senior                               $10.00

          Individual                                       $15.00

          Family                                             $25.00

          Contribution/Organizational       $100.00

          Life                                                   $200.00

U   Yes, I am interested in volunteer opportunities.

U   No, I am not interested in volunteer opportunities.

Please copy this form, fill it out and return it along with your dues to:

F.L.A. Membership Committee

P.O. Box 158

Vonore, TN 37885

(423) 884-6217