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Membership Application
Please cut & paste and either print and send to our mailing address or bring to a meeting with you
Membership is free.Contributions are
greatly apprieciated. We operate solely on membership contributions and
United Way contributions. We are a 501c3 non-profit organization, and
receive only designated United Way contributions. Look for us in your
employers United Way Campaign pamphlets,in the Donor Option Brochure
#1424 . There are many similarly named organizations. We are: Equal
Rights for Fathers of NYS, Rochester Region, and have been serving the
Rochester Region since 1975.Thank You.
ERFF MEMBERSHIP APPLICATION
Briefly state any particular need or questions you may have, that you
would like ERFF to address or send you information on.
____________________________________________________________________
____________________________________________________
Name:______________________________________
Street:______________________________________
City:_______________________State:___Zip_______
Home Phone:_________________Cell:_____________
Alternate Phone:_______________________________
E-Mail:______________________________________
Status:{}Single, {}Divorced, {}Separated, {}Remarried
{}In the process of________________________
Children's Names & Ages________________________
Your Employer/Occupation________________________
Do you have Custody of your children? {}Yes {}No
Attorney's Names, 1st to present____________________
_____________________________________________
Are you satisfied with your representation to this point: {}Yes, {}No
Who filed for Divorce: {}Self, Spouse{}
Are you and your spouse still living in the same home: {}Yes, {}No
____________________________________________________________________
Please make checks payable to: Equal Right for Fathers, PO Box 24487,Rochester, NY 14624
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