Filipino-American

Association of Southwest Missouri

FILAASMO

 

                                                                                                                                               

Last Name                                                                    First Name                                M.I.

 

                                                                                                                                               

Address / Street                                                            City / State                                Zip

 

                                                                                                                                               

Dialect Spoken                                                              Hometown (Province)

 

                                                                                                                                               

E-Mail Address                                                             Birthday

 

                                                                                   

Phone Number

 

                                                                                                                                   

Last Name of Spouse                                                    First Name

 

                                                                                                                                               

Spouse Birthday                                                            Anniversary

 

Name of Children

First                                                         Age               Date of Birth

                                                                                                                                               

 

                                                                                                                                               

 

                                                                                                                                               

 

                                                                                                                                               

 

                                                                                                                                               

Do you want your name and telephone number published in the FILAASMO directory?

 _____ Yes         ______ No

 

Membership Dues: $10.00 for single person, $15.00 for a couple, and $20.00 for a family.

Make checks payable to FILAASMO.  and send to

FILAASMO
1907 N. 23rd
Ozark, MO 65721 

FILAASMO is a non-profit association to enhance the unity and friendship of

the Filipino-American community.