The New Mobilians Club Application

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  1. Please provide the following contact information: Copy paste into an email and send to   kaymunger@bellsouth.net

     

    First Name  
    Spouses Name
    Last Name
    Street Address
    Address (cont.
    City, Zip Code and  Sub Division 
    Home Phone
    Moved From
    Hometown
    Email
    Date Moved Here 
    Birthdate D/M
    How you heard about the New Mobilians
  2. Club Agreement:  I understand that the New Mobilians Yearbook is to be held Confidential and is not to be used for the promotion of business or commercial purposes. Please add your name and the date.


  3. Please check the groups you are interested in:

    A Meal Till You Heal  Bon Appetit          Book Club, Daytime    NeedleCrafters 
    Book Club, Evening    Bridge,Intermediate  Bunco, Couples        Bunco, Ladies Daytime
    Bunco, Ladies Evening Canasta              Pokeno Nighttime      Golf,Ladies         
    Koffee Klatch         Lunch Bunch          Matinee Movie Mania   Walking Mornings 
    Mom's Night Out       Crafts N Things      T.G.I.F.              Trips and Tours                           
    

Author information goes here.
Copyright © 1999 [OrganizationName]. All rights reserved.
Revised: October 02, 2008