Name:

Tel: Home (Eve)

Tel: Bus. (Day)

Email:

Fax:

Address:

City/Town:

Postal Code:

I prefer to be contacted at: Home Work Either

It is best to reach me during: Daytime Evenings Weekends

Please contact me by: Phone Fax Email

How did you hear about the club?

When are you interested in volunteering?
Am flexable Weekdays Evenings Weekends Varies

What level of involvement are you looking for?
A few hours a month A few hours a week Special Events Don't know yet Varies

What are you most interested in helping with?
Computers or data entry
Administration
Outdoor Work
Creative Tasks
Special Events
Volunteer Development & Training
Public Relations & Marketing
Financial Committee Work
Warden
Other

What skills or interests can you offer to the club?