PRINT, FILL IN PRINTING LEGIBLY, MAIL TO ADDRESS AT THE BOTTOM
USE ONE REQUEST FORM FOR EACH GROUP
Date___________________ Group Title____________________________________________________Group Number____________ Meeting day and week _________________________________________Time______________________ Name_____________________________________________Home Telephone_____________________ Address________________________________________ City_______________________Zip_________ Email _____________________________________________________FAX ________________________ Comments and Suggestions: [Use other side if necessary] Please print and return this STUDY GROUP REQUEST FORM to For further questions or information: - Rosemary Rubin 818-783-1364 or rrubin@socal.rr.com |
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