BIRMINGHAM COMMITTEE ON FOREIGN RELATIONS
1400 Park Place Tower
2001 Park Place North
Birmingham, AL 35203
TO: Chairman and Board of DirectorsDate:
SUBJECT: Application for Membership
PLEASE CHECK ONE:
_____I would like to nominate the following as a member of the Birmingham Committee on Foreign Relations:
_____I would like to be considered to become a member of the Birmingham Committee on Foreign Relations
Name:
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Home Address:
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Home Telephone:
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Office Address:
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Work Telephone:
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Fax:
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Business or Occupation (with any relevant reference to international activities)
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Other comments:
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Nominee/Applicant is also known to the following members of the Birmingham Committee (not mandatory):
_____________________________ _______________________________
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Signed: _________________________________
Please return to:
Regina P. Ash
Birmingham Committee on Foreign Relations
1400 Park Place Tower
2001 Park Place North
Birmingham, AL 35203