VOSH / International

MEMBERSHIP APPLICATION

copy.... paste.... mail or become a member electronically

I WANT TO JOIN VOSH/INTERNATIONAL'S EFFORT TO FACILITATE THE PROVISION OF VISION CARE WORLDWIDE TO PEOPLE WHO CAN NEITHER AFFORD NOR OBTAIN SUCH CARE BY BECOMING A MEMBER OF VOSH/INTERNATIONAL.

I UNDERSTAND THAT ANY PARTICIPATION IN A VOSH MISSION IS AT MY OWN RISK.

MEMBERSHIP ALSO INCLUDES SUBSCRIPTION TO OUR NEWSLETTER.

NAME____________________________________________________

ADDRESS___________________________________________________________________

OCCUPATION: ________________________________

COMMUNICATION:

HOME TELEPHONE: ___________________ OFFICE TELEPHONE: _____________________

HOME FAX: _________________________ OFFICE FAX: _________________________

EMAIL:_____________________________________________________________________

I AM INTERESTED IN PARTICIPATING IN A VOSH MISSION ( ) (check box if interested)

IF NO CHAPTER EXISTS IN YOUR STATE SEND THIS FORM AND DUES IN THE AMOUNT OF $30.00 TO:

SEND THIS FORM AND DUES IN THE AMOUNT OF $30.00 TO:

               CHARLES H. COVINGTON, SR.
               SECRETARY/TREASURER
               VOSH/INTERNATIONAL
               111 LINDA LANE
               LAKE MARY, FL 32746-4208

To determine if there is a chapter in your state visit REGIONAL CHAPTERS for an application.

VOSH/INTERNATIONAL IS A 501 ( C ) ( 3 ) TAX EXEMPT HUMANITARIAN ORGANIZATION.

YOUR TAX DEDUCTIBLE DONATION WILL FURTHER HELP US IN OUR MISSION TO PROVIDE VISION CARE WORLDWIDE TO THOSE WHO CAN NEITHER AFFORD NOR OBTAIN SUCH CARE.

MY TAX DEDUCTIBLE DONATION IN THE AMOUNT OF $ __________ IS ENCLOSED

For your convenience, you may pay your dues and make donations by using your credit card and clicking on the button below.

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