Sisters of Lavender

and / or

Call Mary Kay at

Membership Survey

If you are interested in becoming a member, please complete this brief survey. Thanks for your time - Hope to see you at the meetings - Spread the news to your friends. Thanks, MK & ML

NOTE: All group correspondence will be through e-mail. If you do not have access to e-mail, please supply either an address or phone number in the appropriate section below.

Name: (First Name, Last Initial)
Significant Other Name: (First Name, Last Initial)
Email Address:
Address: (Include City, State & Zip) See NOTE above.
Phone Number: See NOTE above
Check all that interest you:	Support discussions Speakers Game night Dances Camping Poetry night Skills and talent sharing Community service projects Pot luck dinners
Other interests:
Comments or suggestions:

form creator