Friends of the Filipino American Community
Political Action Committee (FFAC-PAC)
California Secretary of State FFPC Identification
Number 1277359
2444 Liberty Court, South San Francisco, 94080
Contact Telephone: 650-872-2301 (Alice Bulos)
Contact fax: 650-872-2301 (Alice Bulos)
Contact Email: monty.martinez1@gmail.com
(Monty Martinez, Treasurer)
Membership Application
Name of
Applicant:________________________________________________________
Home
Address:___________________________________________________________
_______________________________________________________________________
City of
Residence:_________________________________________________________
State:_____________________________________ Zip
Code::_____________________
Contact Telephone:______________________
Cellular:__________________________
Email Address: _______________________________Fax:
________________________
Occupation:______________________________________________________________
Employer: _______________________________________________________________
Work Address:
___________________________________________________________
Website:
www.ffacpac.com
This information will NOT be shared with any other
entity and will be
kept as CONFIDENTIAL by FFAC-PAC.