Print, complete and mail

                 Foreign Policy Association of Harrisburg, Inc.
                         Membership Application
                                                                                                                                                 

 Complete Name: _________________________________________________

Complete Name of Spouse: _________________________________________

Address:  _______________________________________________________

City, State & Zip:  _________________________________________________      

Telephone:  (day) ___________________    (night or cell) _______________________

E-mail: __________________________     

Would you prefer to receive your monthly newsletter by e-mail?    Yes___     No___        

For new members, how did you hear about the Foreign Policy Association of Harrisburg?

_________________________________________________________________

Check one membership type

_______ Individual              $25.00                _______  Organization     $30.00

_______ Family                  $35.00                 _______  Sustaining        $50.00

_______ Full-time Student    $10.00                  _______   Corporate     $250.00



  Make checks payable to

        The Foreign Policy Association of Harrisburg, Inc.
and mail to
                      Foreign Policy Association of Harrisburg, Inc.
                              Post Office Box 60665, Harrisburg , PA
17106-0665