
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.