Address:

City, State, Zip:

Phone:

Email address:

Webpage:

$15 Individual member     $25 Family  Membership

Lifetime membership - $225.

QUESTIONNAIRE

List Cornish names and areas or Parishes interested in?

What type of articles would you like to see in the newsletter?

Would you be willing to write any?

Please list any suggestions for what type of meetings you would like to have and how often?

How far would you be willing to come to a meeting, picnic, dinner, or ....?

Would you like to help with organizing meetings?

Work on newsletter?

Other?

Any other suggestions or comments ?

Send form filled out to:
Pacific Northwest Cornish Society

c/o Dot Hosking Huntley

486 Plat B Road

Sutherlin  OR 97479

membership@nwcornishsociety.com

If you have any questions, email Joan Huston, or  write to 10116 Stoli Lane, Silverdale, WA 98383-8826 

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