Retired Men's Fellowship of Greater Flint
Member Directory Information
DATE______________
NAME______________________________________ PHONE_____________________
ADDRESS_________________________________________________________________
CITY______________________________, ST___ ZIP + (4Digits) ___________________
CELL PHONE____________________EMAIL_____________________________________
BIRTH Date________________ SPONSOR*____________________________________
NICKNAME FOR NAME BADGE ________________ SPOUSE___________________
EMPLOYER (Before Retired) _______________________________________________
JOB TITLE (Before Retired) _________________________________________________
*Person who introduced you to RMFGF ___________________________________
( ) Check here if you are an Associate Member (not yet retired)
See OVER for Instructions
Annual dues for 2022-23 $25.
Mail check, payable to RMFGF, along with this form to Treasurer
Alan Ferrari
2909 Brownell Blvd., Flint, MI, 48504
810-239-7245 or email alan2909@hotmail.com
If you are able to email or text an image of this completed form please
send to Corresponding Secretary
Tom Cerny
6243 Meadowwood Lane Grand Blanc, MI 48439
tomcerny1@aol.com
810-252-6943
www.retiredmensfellowship.org