* Date (mm/dd/yyyy):
* Your Name:
* Address:
I Am:
Dates of Trip:
* Arriving:
* Departing:
I am most interested in helping with:
I would like to see the following places during my visit:
Would you like us to pick you up at the airport (fee: $35.00)?
Payment Method (for transportation from airport):
If paying by check (Payable to Friends of the Deaf):

Friends of the Deaf

PO Box 2663

Clackamas, OR. 97015
We appreciate your interest and support!
Tax ID # 27-0721222