Please Print this form and
mail along
with your $30 membership fee to:
Kara Martella
3607 Shady Village Dr.
Kingwood, TX 77345
Name: __________________________________________________
Address: _______________________________________________
________________________________________________________
Email Address: _________________________________________
Phone: _______________ Village: ________________________
Birthday (month/Day): __________ Husband's Name: __________________
Children's Names/Birthdates: ___________________________
________________________________________________________
New Member: (Y/N) ________ Check#: ____________________
How did you hear about us?:
Friend: ____ Name: _____________________________________
Flyer: _____ Where: ____________________________________
Brochure: ______________________________________________
Newspaper: _____________________________________________
Cable Channel: _________________________________________
Other: ____________ Please Describe: ___________________
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