Registration
Like what you see?
Want to get in on this?
Then register with us!
We'd love to have your company!!
Just print out the following and send it in with your small 6-month membership fee and you're good to go!
Name__________________________
Phone__________________________
E-Mail______________@___________
Address___________________________
City__________________________
Zip__________________________
M F (circle one) Age_______
Birthday__________________________
Interests(Circle all that apply)
Civic Center
Mystery Tours
Dinner Out
Playhouse
One Day Trips
Sporting Events
Movies
Travel
Music Likes________________________________
Sports Likes_______________________________
Suggestions___________________________________
Membership Fee - $35.00 - Non-Refundable, 6-Months
Signed______________________________ Date_______________
Send check or money order to:
c/o Susan O'Keefe/SID
PO Box 36051
Des Moines, IA
50315
Email: singleindm@aol.com
