Membership Application

Your lifetime membership includes you, your spouse or domestic partner, and your dependent minor children. Please print this application and enclose a check or money order payable to FCAGR.

Mail to:
Funeral Consumers Alliance of Greater Rochester
P.O. Box 77162
Rochester, NY 14617

Amount enclosed:
$35   $50   $100    Other____________





City, State, Zip +4________________________________________________


I would like additional information about:
Body and organ donation Cemetery purchases
Cremation Green burial
How to choose a funeral home How to pay for a funeral
How to plan a memorial service Should you prepay your funeral?


I want to volunteer to assist with:

The Newsletter   Clerical work   Speaking

Other _____________________________________________________

I learned about the Alliance from _________________________________

Please send ______ membership brochures for me to distribute.