Please complete this form, then PRINT IT and return it by mail, with your check, 
payable to

Alliance Française de Toledo
The Common Space, Suite 102
1700 N. Reynolds Road
Toledo, OH 43615

Annual Membership Dues: (Sept 1 through Aug 31)

Contributing Member..............$50
Family Membership ...............$35
Individual Membership...........$25
Teachers of French .................$20
Student Membership ..............$10  (High School, College & University)
Sponsor .................................$100

Contributions..................... $ (Dues and donations are tax deductible.)

New Member    Renewing Member

Name (as you wish it to appear on our mailing list)

Address 

City, State, Zip

Home Phone Work Phone

E-mail address

I would be interested in:

Taking French Classes
Running for this office:
Serving on a committee
Helping part time in the office

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