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FHCSA 2023 Contact Form
Please include all adults splitting a share.
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Email
*
Your email
Are you a new or returning member?
new
returning (if you were ever a FHCSA member you are returning)
new and returning members split this share
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If you are new, how did you hear about us?
Your answer
To assist with ease of recordkeeping, if you are a returning member and any contact information has changed please indicate it below.
Your answer
PRIMARY MEMBER'S CONTACT INFORMATION
Primary Member's First Name
*
Your answer
Primary Member's Last Name
*
Your answer
Primary Member's E-mail
*
Your answer
Primary Member's Cell Phone
*
Your answer
Primary Member's Home Phone
Leave blank if you have none
Your answer
Primary Member's Home Address - line 1
*
Please include:Building #, Street, Apt. (if applicable)
Your answer
Primary Member's Home Address - city
*
i.e. Forest Hills, Kew Gardens, Rego Park, etc.
Your answer
Primary Member's Home Address - zip code
Your answer
SHARE PARTNER'S CONTACT INFORMATION - complete if applicable
Partner's First Name
Your answer
Partner's Last Name
Your answer
Partner's E-mail
Your answer
Partner's Cell Phone
Your answer
Additional PARTNER(S)' CONTACT INFORMATION - name(s), emails(s), & cell number(s) - complete if applicable
Your answer
Are you comfortable with sharing your name, email, and phone number with all our members? We will
not
share your home address.
Yes
No
Please type any questions/concerns/comments here:
Your answer
Thank you! Looking forward to the 2023 season!
Devon, Helen, Marina & Tom - The FHCSA Core Group
A copy of your responses will be emailed to the address you provided.
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