| 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 |