Information Request Form

Information, Please!

I would like more information about
The International Order of the Rainbow for Girls - IORG

I am a girl between 8 and 11
I am a girl between 11 and 20
My name is:
My address is: (address, city, state, zip)
My phone number is: (999-999-9999)
I have been referred by: (optional)
My parents'/Guardians' names are:
My Parent or Guardians' phone number is: (999-999-9999)
My Parent or Guardians' email address is:

I know other girls who would enjoy knowing more about IORG.

Name:	Phone number:		City:
Parent/Guardian name:		Parent/Guardian phone:
Parent/Guardian email:


Name:	Phone number:		City:
Parent/Guardian name:		Parent/Guardian phone:
Parent/Guardian email:

How did you hear about us?
Would you prefer to be contacted by phone or email ?
What type of activities do you like to do?
Would you like to be contacted regarding our next activity or community service project? yes no
Girls, would you enjoy talking more with an IORG member about the fun she has? yes no

You may print the paper form to complete and mail: CLICK HERE

11/25/2006

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