--------------------------------------------------------------------------------------------------- Returned Peace Corps Volunteers of Phoenix Membership Form Name:_____________________________________________________ Street:____________________________________________________ City___________________________ State_____ Zip_______________ Home phone# _________________ Work phone # __________________ Other phone # ________________ Fax # __________________ E-mail address ____________________________ Peace Corps Service: Country (s), years of service ______________________ Current Occupation: ______________Current Employer___________________ Membership in Peace Corps Volunteers of Phoenix only ($15/year)  ____ Regular Membership in RPCV Phoenix and NPCA (1 year $50)...____ Membership in both for newly returned PCVs (free first 12 months) .... $0.00 TOTAL..........................................................................................$________________ Send form and payment to: RPCV of Phoenix P.O. Box 3346 Tempe, AZ 85280-3346 Interests: ___   Board ___   Social activities ___   Community Service projects ___   Outreach/ presentations ___   Book club