MEMBERSHIP FORM

Please print off this form and return with payment (payable to LOVE-BMFC).


Name _____________________________________________________________

Address ___________________________________________________________

City ______________________________ State __________ Zip _______________

Phone _______________________________________

Email ________________________________________

BMIFC Membership number ______________________


Send to:

Karen Erickson
4336 S. Nicholson Ave., #113
St. Francis, WI  53235




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