WFC -- (Not Really A) "Program Questionnaire"

Name___________________________________________

Electronic Mailing address___________________________Phone number________________

May we communicate with you exclusively by Email?_________ Share contact info?_________

Address (if you think we need to know it)__________________________________________

What should we do?.....Neat ideas and things to share (use back as necessary)
_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

People we should consider inviting to be on program? (Please tell us what they're particularly good at--and provide an address too!)
_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________


I am interested in (circle): being on program autographing (even if not on program)
Please tell us a little about yourself (if you think we need to know it. Use the back as necessary.)
_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

Items and topics that would interest me include______________________________________
_________________________________________________________________________

_________________________________________________________________________

(and I don't want to talk about __________________________________________________)

(Please return by 6/15/99) to -- WFC Program, c/o MCFI, PO Box 1010, Framingham, MA, 01701
Or -- polson@baskerville.org or info@noreascon.org


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