MEMBER INFORMATION

NAME:

FIRST

LAST

BIRTHDAY (MONTH/DAY)

SPOUSE:
(IF APPLICABLE)

FIRST

LAST

BIRTHDAY (MONTH/DAY)

ADDRESS:

STREET

CITY

STATE

ZIP

TELEPHONE:

EMAIL:

SPOUSE EMAIL:

I WOULD PREFER TO BE CONTACTED:

BY EMAIL

BY US MAIL

BY TELEPHONE

NO CONTACT PLEASE

I HAVE THESE SKILLS THAT I WOULD LIKE TO OFFER TO SUPPORT CAMP ILIUM:

VOLUNTEER AREAS OF INTEREST

PERSONAL AREAS OF INTEREST

FUNDRAISING

HIKING

INFORMATION TECHNOLOGY

JOGGING

GRAPHIC ARTS

MOUNTAIN BIKING

COMMUNICATIONS

ROAD BIKING / RACING

LEADERSHIP

FISHING

ENGINEERING/ARCHITECTURE

HUNTING

CONSTRUCTION

SKIING / SNOWBOARDING

WORK WEEKENDS

SCRAP BOOKING

PAINTING

HISTORY / HISTORICAL BUILDINGS

CARPENTRY

COLLECTIONS / COLLECTING

PLUMBING

WOODWORKING

ELECTRICAL

METAL WORKING

ACCOUNTING

ART

PROJECT MANAGMENT

MUSIC

CONCRETE

FILM / THEATER

OTHER

OTHER

COMMENTS / OTHER INFORMATION

I WOULD LIKE TO HAVE MY EMAIL PUBLISHED ON THE WEBSITE  SO OTHER FRIENDS CAN CONTACT ME.

FRIENDS OF ILIUM | NEWS & INFO  | MARK YOUR CALENDAR | LINKS | STEERING COMMITTEE MEMBERS | FIND FRIENDS | PHOTO GALLERY