Filicudi Associates registration

Register as a Filicudi Assoicates member

Name

First:

Last:

Address

Address1

City,state,zip

City,State,Zip

Gender

Male Female

Birth Date

YYYY

Would you like to receive the Newsletter?
Yes
No

Which class of membership are you interested in?
Lifetime members have all benefits of voting and newsletter for a one time payment of $50
Family member has the same benefits at $25 per year
Individual member has the same benefits at $10 per year

Are you or your ancesters from one of the Eolian Islands?
Yes
No

Please give names and the Island of origin.

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