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FACE Membership

Please check one

__Friendly Hand $10.00 - $50.00

__Special Friend $50.00 - $250.00

__Godparent $250.00 - $500.00

__Benefactor over $500.00

__I would like to sponsor a fund raising event to benefit FACE

__I would like more information about FACE

__I would like to have someone from FACE speak at my church, civic, medical, school,

-- social or political group

Name:__________________________________________________

Address:________________________________________________

City:____________________________________________________

State; Zip code:__________________________________________

Phone: (xxx) xxx-xxxx _____________________Ext.____________

For information e-mail: faceoffice1@aol.com

Our Mailing and membership lists are 100% confidential. Please print this page and return with your payment to:

FACE
P.O. Box 19783
Cincinnati, OH 45219-0783

Many thanks to the following children for permission to use their drawing: Willie, age 5; Sara, age 7; and Jessica ,age 6.