Stilwell Community Organization

Today and Yesterday

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GET INVOLVED - STAY IN CONTACT

Registration with the Stilwell Community Organization is for the sole purpose of the non-profit organization, to alert you of upcoming events, and keep you informed of community wide events the SCO maybe come aware of. The organizations exists to support the community and at no time will provide our list of registered members to other organizations, political campaigns, be used for classified ad purposes, will not be provided to other non-profit organizations nor will the SCO sell the list of our community members at any time. Any communications to you from the information you provide here will be by the Stilwell Community Organization and approved by an SCO member prior to being sent.

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Stilwell Community Member

*Contact First Name:

*Contact Last Name:

Spouse Name (If applicable):

*E-mail Address:

*Telephone Number:

Fax Number:

*Address Line 1:

Address Line 2:

*City:

*State/Province:

*Postal Code:

# Children Living at Home

Child #1 - Name

Child #1 - Age

Child #2 - Name

Child #2 - Age

Child #3 - Name

Child #3 - Age

Child #4 - Name

Child #4 - Age

Other Comments:

Business Information

Contact First Name:

Contact Last Name:

Business Name:

E-mail Address:

Job Title /Position:

Telephone Number:

Fax Number:

Web Site Address:

Address Line 1:

Address Line 2:

Address Line 3:

Address Line 4:

City:

*State/Province:

*Postal Code:

Volunteer Interests

The Stilwell Community Organization is a volunteer run organization. If you have an interest or would like to help with a future event or community program, please let us know. We value our community and want you to be part of it in working with other community members.

*Volunteer Interests

Other Volunteer Interests:

Information Interests

The Stilwell Community Organization desires to communicate information our registered members are interested in hearing about and being informed about. Please list those items of interest to you and for which you would like to obtain information.

*Communication Interests

Other Information Desired: