Name: (required) Add: Tel: (H) (O) Pg: Hphone: Email: (required)* Homepage: Age: Sex: (M/F) Occupation: Activities you will be interested in or would like to see: Frequent gatherings Trips/Outings Others - please specify: Any other comments/suggestions: * Membership will be confirmed once email address is verified (For those without email addresses, Stoner of Athena's Haven will attempt to verify with you by calling you)
Add:
Tel: (H) (O) Pg: Hphone:
Email: (required)*
Homepage:
Age: Sex: (M/F) Occupation:
Activities you will be interested in or would like to see:
Frequent gatherings Trips/Outings Others - please specify:
Any other comments/suggestions:
* Membership will be confirmed once email address is verified (For those without email addresses, Stoner of Athena's Haven will attempt to verify with you by calling you)