Membership Questionnaire

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

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:
Birthday: Spouse's Birthday:

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 Language/Music Scholarship Spring Concert
Anniversary Party 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