Families for Russian & Ukrainian Adoption (FRUA)

Online Professional Membership Form

Thank you for your interest in Families for Russian and Ukrainian Adoption (FRUA).
Please answer the questions below (it is not mandatory to answer all questions). If you have not as yet adopted a child, please fill out as much as you can at this time.

Membership fees are listed below. Please check the appropriate Regional or National box and send your check, payable to FRUA, to: FRUA, P.O. Box 2944, Merrifield, VA 22116. Please note on the check that you submitted your form via the web site.

If you have any questions, call our voice mail box at 703-560-6184. Go HERE for Regional contact names and phone numbers. Please allow 6-8 weeks for the arrival of your welcome package.

First time Member Renewal Membership

Check PayPal

Please choose a chapter:

Tax deductible donation $

Friends-Under$100 --- Sponsors-$100-$499 --- Benefactors-$500-$999
Philanthropist's Circle-$1,000-$9,999 --- Heritage Society-$10,000+

All donors will be listed by these designations in our newsletter. If you
DO NOT wish to be acknowledged by name in our newsletter, please check here:

Adoption Agency	Heritage/Cultural Professional	Support Group
Adoption Professional	Medical Professional	Other

Contact Name	Organization Name
Address	City	State
Zip/Postal Code
E-Mail	Telephone	Fax

If you are not an adoption agency but are affiliated with one plese let us know which agency.

How did you learn about FRUA?

Would you be interested in helping out with a local chapter or one of our other committees?
Yes No

How can FRUA help you?

Are you willing to share this information with other adoptive families in our group?
Yes No

Would you like information about advertising through FRUA vehicles?
Yes No

After submitting your application please use your web browsers print function to print a copy of the confirmation page. Please include a copy of the confirmation page with your payment.