RNC CmtyDialogParticForm

219,460pages on
this wiki
Add New Page
Discuss this page0 Share
Community Dialog
Participant Form

Name ____________________________________
Phone ______________________
Address ________________________________________
Fax ______________________
Email ______________________
City _________________ State ____ Zip _________

Dialog Location ___________________
Leader(s) ____________________
Date __________

o Yes  o No  Please add me to the FIC mailing list.
o Yes, ..... But don't share my name with other like-minded groups.
o Yes  o No  I might want to help organize and host 
               another Dialog session.
o Yes  o No  I am interested in sharing skills/expertise or 
               becoming more involved in FIC work.
o Yes  o No  I am currently a member of FIC.
o Yes  o No  I have lived in an intentional community.  
               o Past  o Currently
               How long? _______________
               Name of community? _____________________

Ad blocker interference detected!

Wikia is a free-to-use site that makes money from advertising. We have a modified experience for viewers using ad blockers

Wikia is not accessible if you’ve made further modifications. Remove the custom ad blocker rule(s) and the page will load as expected.

Also on Fandom

Random wikia