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Information Sheet

Name(s):______________________________________________________

Address: _____________________________________________________

Phones: ______________________________________________________

E-Mail: _______________________________________________________

Please tick items of interest:

Symphony      Opera        Musicals      Plays       Museums      Art Shows 
 
Lectures         Choral         Wine            Food        Trips              Curises

Outside / Nature                                  Other:_________________________

____________________________________________________________

Do you require transportation / car pooling?     Yes_____        No _____

Would you be interested in regular meetings locally, with a meal
And / or program?       Yes_____         No_____

Other thoughts: _________________________________________________

______________________________________________________________

____________________________________________   fallinformationsheet