Temporary Membership Change Request
M F S’s – “Missing from Spirit” /
Northern Spirits ( )
L O A’s – “Leave of Absence” / Shore
Birds ( )
It is your responsibility to submit this form either
by snail mail or e-mail to Patsy Meiser prior to any
extended period of absence.
Fort Myers, FL 33919
239-433-0340
Please note a further requirement that all
dues be paid in full through the period of this absence.
Please indicate MFS or LOA: ________________
Name:
Your last rehearsal date:
Your expected return date:
Your e-mail address:
Your mailing address:
____________________________________________
MFS’s:
Please include your Shore Bird buddy’s name and e-mail address:
____________________________________________
Thanks!
Janet Kuhns
Membership Chair