Member Form

The Compassionate Friends of SWFL
P.O. Box 112524 Naples, FL 34108
(239) 690-7801,
swflcf@live.com

Please print clearly, filling in all applicable blanks/boxes:


Member* New member    Changes to member info   
Date:*
Location: YMCA 7:00p    UNITY 9:00am   

Everyone within The Compassionate Friends Organization wants to say…We are sorry you have the need for this Membership form, but we are glad you found us and we hope our Chapter will be helpful on your journey. Please complete the data sheet below and return it so that we may add you to our newsletter and database for future mailings and events. This is to insure that all the information we have is correct and compete. This is for internal use only.

First Name:*
Last Name:*
Spouse:
Last Name:
Mailing Address:
City:
State:
Zip Code:
Phone #:
E-mail:*
Cell #:
Spouse E-mail:
Do you prefer to receive the newsletter by: Mail   or E-mail   
Do you want your child’s name to appear in our newsletter’s sunrise/sunset? Yes    No   
Child's First Name: *
Middle: 
Last:*
Male/Female* Male    Female   
Relationship to you *
SUNRISE:
SUNSET:
Siblings Names:
How did you find out about The Compassionate Friends? Friends    Family    Hospital   
Church    School    Funeral Home   
Internet    Newspaper   
Other   

Voluntary donations are TCF SWFL’s only source of income. The Compassionate Friends needs to be here for the families who do not know today that they will need us tomorrow.