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UFO Society of the Philippines

UFOSP MEMBERSHIP FORM


(FY 2011-2012)
NAME: (Surname, First Name, M.I.)
ADDRESS:
Date of Birth:

Place of Birth:

Gender:

Occupation:

Landline:

Mobile:

Email Address:

Webpage and/or Facebook:

Interests:
Do you have any experience with U.F.O./ET phenomenon, either personally or through a friend
or relative? (choose by encircling your answer):
YES
Emergency contact:
Name:
Address:

NO

Relationship:
Phone: (Home ________________________)
(Mobile ________________________)

Declaration:
As a member, I agree to uphold the good name of the UFO Society of the Philippines (UFOSP)
and endeavour to further its objectives.

________________________
SIGNATURE

_____________________
DATE

Office Use Only


Date Application Received: _______________________________________________
Payment Status/Amount Received: _________________________________________
Membership category: ___________________________________________________
Received by: ___________________________________________________________