Membership Questionnaire



Name: 
Street:
City:  State: ZIP:
Phone Number: Home (incl. area code)
Work
Cell
E-mail Address: Home
Work

Please e-mail my newsletters to:
Home Work Both

The following optional information would help us plan club activities:
Single Married Spouse's Name:
Occupation: Spouse's Occupation:
Hobbies: Spouse's Hobbies:

I prefer to help "behind the scenes" with an event:
Help with Decorations Set Up/Clean Up Serve Refreshments
Greeter Reporter/Photographer

Yes! I can help with a specific event:
Vocal Competition Anniversary Party Spring Concert
Christmas Concert Christmas Party I have another idea!

Yes! I would like to get even more involved:
Entertainment Media Relations Membership
Newsletter Publicity Soccer Club