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July 24, 2008

Life Group Signup Form

Please complete this signup form and click submit. In placing you in a group, we will make every effort to account for your geographical location and the demographics from your other preferences. Please sign up even if you are already in a group.

Last Name		First Name	Spouse First Name
Address
City		State	Zip
Email		Phone1	Phone2
Preferred Meeting Days Sun Mon Tue Wed Thur Fri Sat	Marital Status Single Married Single Again Widowed	What best describes your age group? 20-29 30-39 40-49 50-59 60-69 70+	Group Preferences Singles Single Parents Couples Couples with Children Empty Nesters Senior Adults Other (explain in remarks)
Past Leader	Preferred Leader	HCC Member Yes No	Are you interested in joining a launch group? Yes No
Remarks
Enter the code shown above
Submit

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