Network Memberships ($45)

The VP Foundation Network Membership ($45)

I want to receive and other information from the Foundation.

I want to participate in the VPF's Support Network. (The VPF will send you contact information for a volunteer Leader in your area.)

Please send me __________ additional VPF brochures.


Name


Address


City / State or Province / Zip or Postal Code


Country


Telephone Number


Other Number (cell, facsimile, please specify)


E-mail Address


Profession or Business


How did you hear about the Foundation?




Please print out a copy of this form and mail with
your fee of $45 plus international postage, if any, to:

The VP Foundation
Post Office Box 755
Graham, NC 27253
USA


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