Communication Information

<body topmargin=0 leftmargin=0 marginheight=0 marginwidth=0> <table cellpadding=0 cellspacing=0 border=0><tr> <td valign="top" colspan=2 height=90 BGCOLOR="#006699" TEXT="#080000" background="13cfd5a3.jpg"> <div> <FONT SIZE="5" COLOR="#000000" FACE="Arial" ><B>Traverse City Area Emmaus and Chrysalis</B></FONT><B>    </B><B> |     </B><A HREF="index.htm" TARGET="_top" TITLE="Traverse City Area Emmaus and Chrysalis"><U><B>home</B></U></A></div> <div> <A HREF="id3.htm" TARGET="_top" TITLE="Emmaus"><U>Emmaus</U></A>   |   <A HREF="id2.htm" TARGET="_top" TITLE="Chrysalis"><U>Chrysalis</U></A>   |   <A HREF="id4.htm" TARGET="_top" TITLE="Emmaus Board"><U>Emmaus Board</U></A>   |   <A HREF="id5.htm" TARGET="_top" TITLE="News and Newsletters"><U>News and Newsletters</U></A>   |   <A HREF="id16.htm" TARGET="_top" TITLE="Pictures"><U>Pictures</U></A>   |   <A HREF="id6.htm" TARGET="_top" TITLE="YES! Form"><U>YES! Form</U></A>   |   <B>Communication Information</B>   |   <A HREF="id66.htm" TARGET="_top" TITLE="What Does the Model Say About..."><U>What Does the Model Say About...</U></A>   |   <A HREF="id61.htm" TARGET="_top" TITLE="Important Links"><U>Important Links</U></A>   |   <A HREF="id68.htm" TARGET="_top" TITLE="Emmaus Clergy "><U>Emmaus Clergy </U></A></div> <div> </div> </td> </tr><tr> <td valign="top" width=210 BGCOLOR="#FFCC66" TEXT="#080000" background="13dd2043.jpg"> <div> <IMG SRC="145c3800.gif" border=0 width="195" height="128" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></div> <bR> <DIV ALIGN="LEFT"></DIV> <div> This page is to help us to stay in touch with all of the Emmaus members, wherever you might be. </div> <bR> <div> If you want to serve on a Walk and you would like to choose your area of service,<A HREF="id6.htm" TARGET="_top" TITLE="YES! Form"><U> click here:</U></A></div> <bR> <div>  <A NAME="emmaus_clergy"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="1" ALIGN="bottom" WIDTH="1" HSPACE="0" VSPACE="0" ></A>Emmaus Clergy<FONT SIZE="2" COLOR="#000000" FACE="Arial" >:</FONT></div> <div> click below, download the clergy information form and fax it to 231-271-5757 or mail it to TC Area Emmaus address. </div> <div>  <a href="HTMLobj-366/Clergy Team Application.doc"><u>Clergy Team Form</u> </a>  </div> </td> <td valign="top" height=390 BGCOLOR="#FFFFFF" TEXT="#080000"> <div> Communication Information</div> <div> The Emmaus Board is trying to add to their list of information of active and willing servant members of TC Area Emmaus.  We need an updated list of our membership so that we can more effectively incorporate interested members in the formation of the Teams and to improve our communications with the membership.  So please fill out this form and be sure to let us know if you desire to work on a weekend.</div> <bR> <div>   <form action="http://csbmail.globalscape.com/cgi-bin/csbmail/csbmail.pl" method="POST" enctype="application/x-www-form-urlencoded"><input type="hidden" name="tlx_SortOrder" value="FirstName,LastName,Address,City,State,Zip,Phone,Secondary Phone,Email,EmailList,Date of Birth,Gender,Name of Church,Walk/Flight Number,Date of Walk,Volunteer future walk?,Board prospect,Sponsorship Training Date,Inactive status,Comments"><input type="hidden" name="tlx_FormIndex" value="2"><input type="hidden" name="tlx_OKMessage" value="Thank you for your assistance and willingness to serve."><input type="hidden" name="tlx_SendMode" value="1"><input type="hidden" name="tlx_Subject" value="An Emmaus Data Collection Form was submitted"><input type="hidden" name="tlx_EmailTo" value="shauesbit@charter.net"> <table cellpadding="0" cellspacing="1" border="0" align="center"> <tr> <td align="left">First Name:<br> <input type="text" name="FirstName" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Last Name:<br> <input type="text" name="LastName" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Address:<br> <input type="text" name="Address" size="30" maxlength="100"></td> </tr> <tr> <td align="left">City:<br> <input type="text" name="City" size="30" maxlength="100"></td> </tr> <tr> <td align="left">State:<br> <input type="text" name="State" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Zip:<br> <input type="text" name="Zip" size="10" maxlength="10"></td> </tr> <tr> <td align="left">Phone :<br> <input type="text" name="Phone" size="14" maxlength="14"></td> </tr> <tr> <td align="left">Alternative Phone:<br> <input type="text" name="Secondary Phone" size="14" maxlength="14"></td> </tr> <tr> <td align="left">Email:<br> <input type="text" name="Email" size="50" maxlength="100"></td> </tr> <tr> <td> <input type="checkbox" name="EmailList" value="yes"> Add me to your email list</td> </tr> <tr> <td align="left">Date of Birth:<br> <input type="text" name="Date of Birth" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Gender:<br> <input type="text" name="Gender" size="8" maxlength="14"></td> </tr> <tr> <td align="left">Name of Church and City:<br> <input type="text" name="Name of Church" size="50" maxlength="100"></td> </tr> <tr> <td align="left">Walk/Flight Number:<br> <input type="text" name="Walk/Flight Number" size="8" maxlength="14"></td> </tr> <tr> <td align="left">Date of Walk/Flight and Location:<br> <input type="text" name="Date of Walk" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Would you work a future walk?:<br> <input type="text" name="Volunteer future walk?" size="8" maxlength="14"></td> </tr> <tr> <td align="left">Would you consider serving on the Board?:<br> <input type="text" name="Board prospect" size="8" maxlength="14"></td> </tr> <tr> <td align="left">Have you completed sponsorship training?:<br> <input type="text" name="Sponsorship Training Date" size="8" maxlength="14"></td> </tr> <tr> <td align="left">Please list me as INACTIVE for now:<br> <input type="text" name="Inactive status" size="8" maxlength="14"></td> </tr> <tr> <td align="left">Comments:<br> <textarea name="Comments" rows="10" cols="50"></textarea></td> </tr> <tr> <td align="right"><input type="reset"> <input type="submit" value="Send" name="tlx_send"></td> </tr> </table> </form>  </div> <bR> <bR> <bR> <bR> </td> </tr></table></body>