Funeral Consumers Alliance of Vermont
Membership, Donation and Volunteer Application Form
We welcome all to membership in the Funeral Consumers Alliance of Vermont. Lifetime memberships are $20 for an individual, $25 for a couple, and $10 for additional family members. And we very much appreciate annual donations to support our ongoing work!Please print this page and write your information in the form below.
Name :: ____________________________ Telephone :: __________________
Address :: ________________________________________________________
Email :: ______________________________
____ I’M/WE’RE NEW! I’m enclosing $_____ for membership for an individual __ or for a couple and ___ membership and for additional family members.
____ YES! I’m renewing my support for the Funeral Consumer’s Alliance of Vermont and its mission of promoting and protecting a consumer’s right to choose meaningful, dignified, and affordable final arrangements: funeral or memorial services, care of the body and disposition of human remains (including burial, cremation, or donation). I’m enclosing my voluntary contribution of ::
$15 Student___ $30 Adult___ $60 Supporter___ $120 Benefactor___
Other Amount $_______
____ I have time and interest in helping Funeral Consumers Alliance of Vermont. Please contact me about volunteer opportunities.
Please make checks payable to FCA-VT and send with completed form to Funeral Consumers Alliance of Vermont, PO Box 144, Plainfield, VT 05667-0144.
For immediate and personalized information or answers to other questions not addressed here, please call 802-223-8140 or 802-454-1131.
Funeral Consumers Alliance of VT 