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Member Information App.

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This form is to help me know what times you are on so i may add this information to the softwear list i have. Secondary e-mail is NOT required!
NOTE: This Information will NOT be given to anyone! I will be the only person with this info!!!

Member Name:
Main E-mail:
Secondary E-mail:
ICQ Number:
Actual First Name:
Actual Last Name:
Time Zone:
Are you avalible on Mondays?Yes
No
If so, what times are you avalible?
Are you avalible on Tuesday?Yes
No
If so, what times are you avalible?
Are you avalible on Wednesday?Yes
No
If so, what times are you avalible?
Are you avalible on Thursday?Yes
No
If so, what times are you avalible?
Are you avalible on Friday?Yes
No
If so, what times are you avalible?
Are you avalible on Saturday?Yes
No
If so, what times are you avalible?
Are you avalible on Sunday?Yes
No
If so, what times are you avalible?