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 your United Way contribution designated to us. 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

Your Attorney's Names, 1st to present____________________
_____________________________________________

Your Wife's Present Attorney____________________________

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

Mail to: ERFF, PO Box 24487, Rochester, NY 14624