Freedom Force

MEMBERSHIP ENROLLMENT

Check one: new enrollment; revision to previous enrollment. If this is a revision to a previous enrollment, please enter your membership ID code here:

I would like to become a member of Freedom Force International. I agree to uphold The Creed of Freedom in my personal and professional life and abide by the Freedom Force Code of Conduct in organizational activities.

Name

Mailing Address

City

State/Province

Postal/Zip code

Country

Email

Phone Number

Who introduced you to Freedom Force?


TYPE OF MEMBERSHIP
I wish to participate as indicated below. I understand that I may change from one option to the other at any time. (Check one.)

As a Chartered Member, I am glad to support Freedom Force financially. I may change or cancel my pledge at any time. I will be eligible to participate in activities, receive communications, attend meetings, serve on committees, participate in the awards program, and have the right to vote and hold office.I also will receive the Freedom Force recognition pin.

As a Certified Member, I am unable to support Freedom Force financially but I will be eligible to participate in activities, receive communications, attend meetings, and serve on committees.


SETTING YOUR PLEDGE
The amount of your pledge should be stated in US Dollars. If outside the U.S., a bank card automatically converts into your national currency. The exchange rate is shown at www.xe.net/ucc. For Chartered Members the monthly minimum is $11. Smaller amounts are deeply appreciated but do not qualify for Chartered Membership. The Freedom Force mission is as serious as it gets and it needs equally serious funding to succeed, so please be as generous as possible. Thank you.

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I establish my monthly pledge at (US) $

($11 minimum)

Bill my bank card every:

Credit or debit card Type

Visa

Master Card

Discover

American Express

Card # (No Spaces please)

Expiration date (mm/yyyy)

I will mail a check every months in U.S. Dollars drawn on a U.S. bank. I will send my first check and subsequent checks to Freedom Force, P.O. Box 4228, Thousand Oaks, CA 91359.

If you enroll within the first 15 days of the month, your first payment will apply to the month in which you enroll. If you enroll on the 16th day or later, it will apply to the following month. Thereafter, payments will be due on the first of each month. Payments are non-refundable.