Current Date: __________________________ Name: ________________________________________________________________________ Address: ________________________________________________________________________ Home Phone: _________________________ Cell Phone: ________________________________ E-mail: ________________________________________________________________________ Prior City and State of Residence (if new to Columbia) ____________________________________ Birthday Month __________________ Spouse/Significant Other’s Name _____________________ Please check one: ___________ Newsletter e-mailed $20 ___________ Newsletter via postal services $30 Please complete the form and return with your check to: Columbia Newcomers Club, PO Box 30602, Columbia, MO 65205 Please take a moment to let us know what special interest groups you would like to learn more about by placing a check next to the group name. _____ Book Clubs _____ Guys and Dolls Happy Hour _____ Hand and Foot _____ Wine Tasting ----- Walking _____ Lunch Bunch _____ Happy Hour Wine Tasting _____ Canasta _____ Needle Talk _____Girls Night Out _____ Coffee ______ Monthly Luncheon w/ Program _____ Opera _____ Scrabble _____ Movie |
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