FREDERICKSBURG SISTER CITY ASSOCIATION, INC
2008 Membership Application and/or Donations

Please print this form and mail it to the address listed on the form.

This organization is dedicated to 1) cultivating a special friendship and cultural exchange between citizens of Fréjus, France and the Fredericksburg Region; 2) contributing to international understanding in a direct way; and 3) broadening the educational horizons of children and adults in the community through exchanges of information, ideas and people. We have been a Sister City with Fréjus since 1980. The success of any volunteer organization depends on the membership, on those who are involved in a personal way, and on those who support the organization in a financial way. There is a place for you in our organization. All you have to do is complete this form and mail it, along with your check, today.

Dues & Donations

___Individual ($15.00) ___Family($25.00) ___Civic Club($50.00) ___Corporation($100.00+) ____General Operating Fund $_________

___Alec Vitarius Memorial Scholarship Fund for students $_________ ___Cultural Grant Fund $___________

# A scholarship valued at least $1000.00 is given bi-annually to a worthy high school French student in connection with a student exchange to Fréjus and Paris, France

Make checks payable to Fredericksburg Sister City Association, Inc. Mail with this form to:Mr. Wilbur Brown, FSCA Vice-President-Membership, 10415 Edinburgh Drive, Spotsylvania, VA 22553

For additional information, please visit our web site – http://fsca.communitypoint.org and e-mail us from there or contact Mr. Brown at 540-898-8699 or E-mail wbrown53399@aol.com

Your Name:__________________________________

Address:_________________________________________________________________________________________________

Phone (H):____________________Phone (W):___________________E-Mail:__________________

Want to be involved? Check categories of interest to you:

___Bon Vivant: - Adult group meets at restaurants in the region for French food, wine & fellowship.

___Conversational French Classes For Adults: ___as a student _____as a teacher

___ Host Summer exchange from Fréjus, France: ___student(s) _____adult(s)

___Fund Raisers

___Social Events

___Other ______________________________________________________________________