|
Funeral Consumers Alliance of
Western Massachusetts
Print & Mail Application Form If you encounter printing problems, try the PDF version Note: click here if you need to download free Adobe Acrobat Reader to open pdf files. ____Please enroll me in the Funeral
Consumers Alliance of Western Massachusetts and send me the
“Before I Go” End-of-Life Planning Kit and membership packet. I am enclosing the suggested membership
donation of $30.
____Please enroll me in FCAWM and send me the “Before I Go” End-of-Life Planning Kit and membership packet. I am a person of limited means, and enclose a membership donation of $________. ____I enclose an additional contribution to the FCAWM of $________ to help support its consumer education programs. Name _________________________________________________ Address_________________________________________________ City/State/Zip _________________________________________________ Daytime Phone _________________________________________________ E-mail Address _________________________________________________ How did you hear about FCAWM? ____________________________________ Make check or money order payable to FCAWM and mail to: Funeral Consumers Alliance of Western Massachusetts, P. O. Box 994, Greenfield, MA 01302-0994. Please send me the following items with my membership packet* ___ Guide to Funeral Planning ___ Prepaying: Benefits & Dangers ___ Cremation Explained ___ The Cremation Option in W. Massachusetts ___ Organ and Body Donation: A Gift to Science ___ Information on body donation to medical schools in Massachusetts ___ Complete list of FCA brochures available *Your additional donation will help to cover our printing and postage costs. Note that many of these brochures may also be downloaded from the website of our national office, http://www.funerals.org Please send _____ additional “Before I Go” Planning Kit(s). I enclose a donation of $7.50 for each Kit ($10.00 for non-members). Please mail a membership brochure to the following: _______________________________________ _______________________________________ _______________________________________ If you would like to volunteer a few hours a month for office tasks or other services, please indicate your interest(s) and we will call you: ___Serve on the Board ___Price Survey Committee ___Newsletter Editor (with computer skills) ___Speakers Bureau (group presentations) ___Other: ___________________________ If you have any questions or you would like to invite an FCAWM speaker to make a presentation to your social organization or religious group, call us at (413) 774-2320 or send us an e-mail.via our website http://FuneralConsumersWMass.org |
