* 1. Which of our Monthly Meetings are you able/more likely to attend?

* 2. Which of the following Meeting Programs are of interest to you (Please choose no more than 3 programs):

* 3. Which of the following events should the Mothers' Club run this year (Please choose no more than 3 events):

* 4. I would like to help run the following:

* 5. I would like to volunteer to help with the following:

* 6. If the Mothers' Club started a Scrip program (purchase of gift cards), would you participate?

* 7. Which stores would you be interested in purchasing gift cards for? (Please choose no more than 3 stores)

* 8. Which of the following trip(s) are of interest to you? (Please choose no more than 3 trips)

* 9. Keeping in mind the trip(s) above that you are interested in, what pricing are you willing to spend on the trip(s)?

* 10. Please let us know if you have any areas of expertise that might be of interest to the Mothers' Club:

* 11. Other ideas or suggestions you may have:

* 12. Email Address

* 13. Best Phone Number to Contact You:

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