Name

Address

City

State

Zip

email

Phone

How would you prefer to Newsletter/Work Roster/Other Correpsondence By

Mail

Email

Both

To ensure you are aware of upcoming fundraisers (only those you are assigned to) or special events - can we send you a reminder message to your cell phone - 3 days before event.

Yes

No

What would you like our council to improve upon?

Are you interested in helping in any specific areas with the council/church (Officer, etc.)