FORConn Friends of Retarded Citizens of Connecticut

FORConn - Speaking out for Choices for People with Mental Retardation and Their Families! About Us | Choices | News | Links | You Can Help! | Join Us

Membership Form:
Feel free to print this page out on your printer and use this form, or enclose this information with your membership fee.

Membership Fee:
Individual Membership: $25 per year. Individual membership includes our Monthly Mailing. Membership for a company or organization: $3 per employee in your company/organization. If you are a family member or have mental retardation and can not afford the individual membership fee, please let us know.

Application for Membership:

The mission of FORConn is to advocate for the welfare of all Connecticut Citizens with mental retardation, regardless of their handicap, care needed or preference.

 

NAME____________________________________________________________
                    Individual Member or Association Member (Please print)

ADDRESS_________________________________________________________________________________

CITY_____________________________________ STATE _______________________ ZIP ________________

PHONE _______________________________ E-MAIL______________________

How can FORConn help you/your family?

 

 

Would you like to volunteer to help FORConn? Is so, please let us know if you have specific skills/ideas, and general time frame available to assist FORConn.

 

 

Please mail this completed application and your membership fee to:

Sally Bondy

88 Notch Hill Road, Apt. 265

North Branford, CT 06471
 

All information is kept confidential and used strictly for FORConn mailing purposes. We do not share your address with any other person or organization. If you would like more information before sending in your membership, feel free to look at our in depth website.

Additional donations and sponsorship are welcome! FORConn is supported by membership fees and donations.