YES!  I want to join FOMBA             
Individual membership only $20.00
Family membership only $25.00

fomba.jpg (12756 bytes)

NAME:        ADDRESS:

E-MAIL ADDRESS:

CITY:  STATE:   ZIP:  TEL: 

SHIRT SIZE:      INTERESTS: 

Fill out this form...print it...then send check or money order to:


FOMBA
P.O. Box 155

Auburn NH 03032, (603)483-2410.