Returned Peace Corps Volunteers of Colorado Membership Application

We need your support and ideas to continue our international and domestic community activities. If you are interested in becoming a member, please complete the following application and hit "submit." Once your form has been submitted, you will be taken to a page where you can make your payment through Paypal or Google Checkout. If you'd rather mail your money, please mail a check (made out to RPCVCO) to: Randall Monson RPCVCO Membership 518 Sand Dollar Ct Fort Collins, CO 80525

Name

Address

City, State, ZIP

Phone (numbers only, no dashes)

Email

Who are you?

Country of Service

Dates of Service (ex: 1995-1997)

Did you serve anywhere else? Where and When?

What did you do in PC?

What do you do now?

I would like to receive the RPCVCO newsletter:

By email
By postal mail
Both

Note: Receiving the letter by email saves us $3 a year and some trees!

I would like to be contacted regarding:

Service Projects
Speakers Bureau
Book Club
Social Events/Happy Hours
Advocacy
Mentoring newly returned RPCVs

Membership Level

Please verify you are a real human being

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Returned Peace Corps Volunteers of Colorado Membership Application

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