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LPC Member WaitlistÂ
Your answers to these questions will put you on the waitlist when the next opening is available in Lighthouse Probus Club
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Email
*
Your email
Full Name
*
Your answer
Telephone #
*
Your answer
Are you a couple or a single?
*
Couple
Single
How did you learn about our club?
*
Your answer
Are you willing to volunteer in our club?
*
Yes
No
Maybe
Any other comments?
Your answer
A copy of your responses will be emailed to the address you provided.
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