FDN Membership Registration

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Family Victory Network (FVN)

P. O. Box 88252, Sioux Falls, SD 57109-8252

605-838-9759 (7am-9pm, ct Mon.-Sat.)

familydisasternet@gmail.com twitter.com: familydisaster (tweet us)

MEMBERSHIP REGISTRATION FORM Email us if you can’t get a good copy.

Privacy Statement: We are a network, and we do respect your privacy. There will be no selling to third parties. There are two categories of privacy: Network and Confidential. Network is a Group/Area/Metro Roster with as little information as possible, but other members know that there are other members available. You need to let your Administrator know how much information to release for the network. Your name or initials or a nickname could be used, plus maybe an e-mail or social or phone or P.O. Box/MBE box, geographical location (e.g.: Sioux Falls, or SE SD, or NW IA) and your network position (truck driver, security, medical, trainer, etc.).

The Confidential Roster has what ever information that you release to us and is Confidential to only to Red and National Administrator. Use a P.O. Box or MBE/UPS or private box as your mailing address if you don’t want your mailing address used. We will need to contact you for emergencies, newsletters, e-mails, meetings and training.

Age Groups: Child, Teen, Adult, Senior: For Demographics Purposes

Geographic Area: See Privacy Statement.          See Chapter Nine for Network Positions.

ONE: Your Name/Nickname:__________________________ e-mail:_____________________________

What is the best way to contact you?_______________________________________________________

Mailing Address (paragraph two):__________________________________________________________

Phones (specify):_______________________________________________________________________

Social Media:__________________________________________________________________________

Geographical Area:______________________ Age group:_____________ Hobbies or Trades– what kind of Network Position would you like? ________________________________________________________

Veteran? __________________ Other: _____________________________________________________

TWO: Your Name/Nickname:__________________________ e-mail:____________________________

What is the best way to contact you?_______________________________________________________

Mailing Address (paragraph two):__________________________________________________________

Phones (specify):_______________________________________________________________________

Social Media:__________________________________________________________________________

Geographical Area:______________________ Age group:_____________ Hobbies or Trades– what kind of Network Position would you like? ________________________________________________________

Veteran? __________________ Other: _____________________________________________________

3^rd Name:___________________________________ e-mail: ___________________________________

Contacts and Social Media: ______________________________________________________________

Geographical Area:________________________ Age group: ___________ Hobbies/Trades/Other:_____

____________________________________________________________________________________

4^th Name:___________________________________ e-mail: ___________________________________

Contacts and Social Media: ______________________________________________________________

Geographical Area:________________________ Age group: ___________ Hobbies/Trades/Other:_____

____________________________________________________________________________________

5^th Name:___________________________________ e-mail: ___________________________________

Contacts and Social Media: ______________________________________________________________

Geographical Area:________________________ Age group: ___________ Hobbies/Trades/Other:_____

____________________________________________________________________________________

Others who might want to join FVN:________________________________________________________

_________________________________________________________________ Thank you, Red Becker