Form Updated Wednesday, August 22, 2001 17:10

I am an officer of the group I am a member of the group (choose one, please)

Last name of Group Contact Person

First name of Group Contact Person

E-mail Address of Group Contact Person

Voice Phone (999) 999-9999 of Group Contact Person

FAX Phone (999) 999-9999 of Group Contact Person

URL to Group's Web page, if any*

 * If you have a URL that won't fit, enter www . askme . com in this space

Other - See My Comments Alabama Alaska Arizona California Colorado District of Columbia Florida Georgia Idaho Illinois Indiana Iowa Kansas Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina Ohio Oklahoma Oregon Pennsylvania South Carolina Tennessee Texas Utah Virginia Washington Wisconsin Asia Western Europe Canada Eastern Europe South America Meeting Location I want my link listed under

Meeting Location Facility Name (Howard Johnson Restaurant, etc)

Meeting Location Street Name & Number

Meeting Location Zip or Postal Code

Our group meets Frequency First Second Third Fourth Every Every Other MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY SUNDAY Day of Week @ 8 9 10 11 12 1 2 3 4 5 6 7 : 00 15 30 45 .. AM PM for Hours 1 2 3 4 5 6

Comments ("our meeting does not conform to above, use details supplied below", etc.) The form worked fine whith the exception that . . .

I did the best I could with this form, but can see where it might not fit the way your group meets. If the form won't allow you to enter what you need - enter something it will accept and explain in the comments section. e.g. Your group meets every other month on alternating Tuesdays and Thursdays - would require explanation in the COMMENTS SECTION 

If you experience difficulties with this form, please send the information to rex16306@rexn.com

Thank you.