We will need the following information to register you as a member of F.A.L.E.F.

Please fill in all fields with a *

Name *
Email address
Address *
City, State, Zip *
Phone *

Membership Fees: $25 individual, $45 family, $10 student

Please send the registration fee to complete your registration to:

Friends & Alumni of Epworth Forest
c/o Aaron Paulsen
813 Hathaway St.
Winimac, IN 46996