Friends of Mexico

Membership Form

Please print clearly - All information provided is for Friends of Mexico use ONLY

Contact Information

Name (last):

 

(first):

Mexico Address (street or hotel):

 

 

(colonia):

 

(city):

Mexico Telephone Number:

 

 

Primary e-mail:

 

 

 

We'd like to know a little more about you!

Birthday (month):

 

(day):

Home Country:

 

 

Home State or Province:

 

 

 

How many months do you spend in Mazatlán EACH YEAR?                                               

 

Would you like to help out by getting involved in our Charitable Work or Administration?  

  

Executive Board

[  ]

Charities

[  ]

Interpreter

[  ]

Social / Events

[  ]

Friendship / Welcoming

[  ]

Radio Program

[  ]

Volunteer Pool

[  ]

(Volunteers - at your convenience, please contact Gayle at 982-4414)

                                               

Do you have any special skills, talents, or experiences that you’d be willing to share?

For example, are you an artist or computer whiz who can help create posters?   Or a former teacher who loves kids?

              

 

 

                                

Special Information about Blood Donations

Here in Mexico, there is no large blood bank available for medical emergencies.  The person in need of blood is responsible for finding his own donors.  That's especially difficult for non-Spanish-speaking visitors or residents.

            If needed, would you be willing to donate blood?

If yes, what is your blood type?

 

                                               

                                   Thank you and Welcome to Friends of Mexico!

 

 

Date:                                              Amount:                          FOM Representative: