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Greater Birmingham Returned Peace Corps Volunteers Membership Form Name: Address: Dues Categories: $50 Individual (Includes NPC dues) $65 Family (Includes NPC dues) $15 Individual (Bricks only) $22.50

Participation in the Greater Birmingham Peace Corps Volunteer program is a significant part of my experience in the United Nations. I agree to follow guidelines set forth by the Greater Birmingham Peace Corps Volunteer program in providing the necessary information and materials necessary to facilitate participation in the Greater Birmingham Peace Corps Volunteer program. I understand: I have a right to remain in the United States and/or to return to my country if I am not accepted for a volunteer commitment. Furthermore, I agree to abide by program rules, policies, and agreements. Furthermore, I understand that I may be called upon to help to assist persons overseas during times of crisis or in times of need. For more information please contact the Greater Birmingham Peace Corps Volunteers' Office: or x108 or. Please note: Membership in this organization, including the benefits and privileges thereof, may be revoked by the Greater Birmingham Peace Corps Volunteers Board upon written notice or upon the loss of qualification by fraud, deception, fraudulently obtaining a disability, material misrepresentation, or gross negligence. For the full text of the Peace Corps Voluntary Discharge Regulations visit: . If you have any comments and/or suggestions in relation to membership in this organization, please contact the Greater Birmingham Peace Corps Volunteers' Office at. For more information on our Peace Corps Volunteer program, please visit us at: . Peace Corps Volunteers in the Greater Birmingham Area: Volunteers from this community have the opportunity to work with the most respected, courageous, and professional people in the world. Volunteers in the Greater Birmingham Area are provided: • A safe, supportive, and stimulating environment for volunteering to help build lasting, lasting positive change; • Opportunities to work with people from all backgrounds, including members of underrepresented groups; • Opportunities to improve the quality of life in communities with high economic and social disparities; and • Opportunities to serve at the local, state and national levels as leaders and representatives for international peacekeeping efforts.

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