ACBL Unit 116

Electronic Registration

Fill out the following form for participation.

Note:  DO NOT Press the ENTER key !

Navigate through the form using your mouse.  

  E-mail me notification of Unit happenings
  Include me in the hard copy directory
  Include me in the electronic directory

  I request that I not be included

  E-mail  
  Name  
Street Address
City
State/Province
Zip
Daytime Phone
Nightime Phone
Cell Phone

Any Special Requests ?