Cedar Rapids/Iowa City Friendship Force Membership Application

Please complete the application online and bring a check for your membership dues to your first Friendship Force event!

First Name:

Last Name:

Address:

Alternate Address (If you winter south):

Home Phone:

Work Phone (Only if you wish to be contacted at work):

Email Address:

Please check membership type:

Family Membership (Includes children under 18 living at home, $40/year. Children over 18 living at home can be members for an additional $10/person.)

Individual Membership ($20/year)


If you would like to order a name badge for $10.00 each, please write a separate check, payable to Friendship Force, for the total cost of badges ordered.

Name(s) as you'd like it to appear on name badge:



Total number of badges requested: X $10.00 = $

Total Due:

Membership: $

Badges: $

Total Due: $

The club is always looking for volunteers. Please let us know if you are willing to help out in any of the following areas:

Typing Clerical Assistance Telephoning Driving Serving Refreshments Baking Translating Performing Arts Other: