Lodge Survey & Update

Manchester #14 AF & AM

Lodge Survey & Update

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Use the following link to download the Lodge Survey - Member Update

Fill out the form below and it will be sent by E-Mail

Full Name:
Date Of Birth
Wife's First Name
Home Address
Mailing Address If Different
Home Phone (With Area Code)
Other Phone Numbers (Cell, Pager, Fax)
Personal E-Mail Address:
How Often Do You Check This Personal E-Mail Account
Employer - Indicate If Retired
Work Phone
May We Send E-Mail To Your Work Account
Work E-Mail
How Often Do You Check You Work E-Mail
How Should We Send Your Bulletin?
Comments
I Would Attend Lodge More Often If:
I Am Not Able To Attend Lodge Due To My Health
I Would Like Someone From The Lodge To Contact Me


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