Filipino-American Association of the Inland Empire
Membership Application Form
Please mail your completed application form with your $20.00 fee (check / money order) to our Membership Coordinator, Christine Biador-Ray, 4605 N. Jefferson, Spokane, WA 99205. Thank you!
Date_______________________ Paid by ____ Cash ____ Check ____ MO
Name___________________________________________
Spouse Name ____________________________________
Address _________________________________________
________________________________________________
Best Phone Number to Reach At _(_______)___________________
Cell ___ Home___
Alternate Phone Number _(_______)_______________________
Cell ___ Home___ Spouse __
Your Email Address ________________________________________________
Spouse Email Address ______________________________________________
Are You on _____ Facebook _____ Twitter _____ Linked In
Family Members Living with You At Home
Names __________________________________ Relationship _____________
Names __________________________________ Relationship _____________
Names __________________________________ Relationship _____________
Names __________________________________ Relationship _____________
Province and Dialect _______________________________________________
Areas of Interests/Skills: Please check ALL that apply.
____ Leadership ______ Dancing ______ Public Relations
____ Event Management ______ Singing ______ Maintenance
____ Computer ______ Cooking ______ Auto Mechanic
____ Public Speaking ______ Creativity ______ Cashiering
____ Written Communication ______ DJ ______ Bookkeeping
Would you allow FAAIE to publish your name and contact information in our Annual Directory? YES _____ NO ______
