Submitting Information


If you would like to be emailed about meetings, subscribe to the C U THERE email list at CUTHERE@yahoogroups.com



If you would like to be emailed about social events, then subscribe to the C U THERE email list at CUTHERE@yahoogroups.com

First Name:
#Form.firstname#


Last Name:
#Form.lastname#


Work Phone:
#Form.phonew#


Home Phone:
#Form.phoneh#


Email Address:
#Form.email#


Do You Speak English:
#Form.EngSpoken#


Do You Speak French:
#Form.FrnSpoken#


Other Spoken Languages:
#Form.OtherSpoken#


Do You Read English:
#Form.EngWrite#


Do You Read French:
#Form.FrnWrite#


Other Written Languages:
#Form.OtherWrite#


How Would You Like to be contacted for upcoming events:
#Form.Events#


If we're bring print material to a discussion; what format would you find most Useful:
#Form.Print#


Age:
#Form.Age#


Transportation:
#Form.Transportation#


What Part Of Town Do You Live In:
#Form.Area#



Member Information Collection Form


First Name:


Last Name:


Work Phone:


Home Phone:


Email Address:


Do You Speak English:


Do You Speak French:


Other Spoken Languages:


Do You Read English:


Do You Read French:


Other Written Languages:


How Would You Like to be contacted for upcoming events:


If we're bring print material to a discussion; what format would you find most Useful:


Age:


Transportation:


What Part Of Town Do You Live In: