AMERICAN BAHRAINI FRIENDSHIP SOCIETY
c/o Embassy of the Kingdom of Bahrain
3502 International Dr, NW
Washington, D. C. 20008-3035
Telephone: (202) 342-1111 x825
Email: USBahrainFriendship@BahrainEmbassy.org


Membership Application

Date: _____________
Name: ________________________________________________________________________
(Last) (First) (Middle)
Title: _________________________________________________________________________
Spouse's Name: ________________________________________________________________
Mailing Address: _____________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
Telephone: (____)__________________________ Home
(____)__________________________ Office
Fax: (____)__________________________
Email: ________________________________
Company Affiliation: ____________________________________________________________
Address: _____________________________________________________________________
Connection with Bahrain, if any (current or past):
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
Special Interests:_____________________________________________________________
_____________________________________________________________________________
Amount enclosed:
(__) $30 (__) $60 (__) $15 (__) $500
Individual Couple Student Corporate

*Please print and fax/mail the completed application with your check to the address above




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