Florida Gulf Coast Couples

MEMBERSHIP DIRECTORY SIGN-UP

Members' information is held in strict confidence by the FGCC Board. That's why you are not automatically added to our Membership Directory when you join FGCC.
In accordance with our confidentiality policy, we require that member couples sign up to be included in the directory. Only couples who request to be included in the
directory will receive the directory.

To sign up, fill out the online form below. At a minimum, you must provide your first names, the city where you live, and an email address. You may provide as much
additional information as you are willing to share.

If you are already in the directory but wish to update or add to your information, complete the form below.

The Membership Directory is updated and distributed quarterly in January, April, July, and October.

Please check one:
We are new to the directory.
We are updating our existing entry.

Person 1
First name*: Last name: Birthday:

Occupation information (if applicable, include any "specials" or discounts available to FGCC members):

Person 2
First name*: Last name: Birthday:

Occupation information (if applicable, include any "specials" or discounts available to FGCC members):

Anniversary:

Email*
List the following as our joint email address:
List separate email addresses as follows:
Person 1 email
Person 2 email

Address
Street address:
City*: State: Zip:

Phone Numbers
Home:
Person 1 cell:
Person 2 cell:

Hobbies / Interests / Favorite Social Activities
Hobbies and interests you enjoy as a couple:

Favorite social activities you enjoy with other couples:

Person 1 - Individual hobbies, interests, and activities:

Person 2 - Individual hobbies, interests, and activities:

"Fun facts" about you:

Our initials below indicate that we give our permission to be included in the Florida Gulf Coast Couples Member Directory.
Use the last four digits of your social security number as your personal ID.
Person 1 initials: Personal ID: Date:
Person 2 initials: Personal ID: Date:


MEMBERSHIP DIRECTORY SIGN-UP Members' information is held in strict confidence by the FGCC Board. That's why you are not automatically added to our Membership Directory when you join FGCC. In accordance with our confidentiality policy, we require that member couples sign up to be included in the directory. Only couples who request to be included in the directory will receive the directory. To sign up, fill out the online form below. *At a minimum, you must provide your first names, the city where you live, and an email address. You may provide as much additional information as you are willing to share. If you are already in the directory but wish to update or add to your information, complete the form below. The Membership Directory is updated and distributed quarterly in January, April, July, and October. Please check one:* We are new to the directory. We are updating our existing entry. Person 1 First name: Last name: Birthday: Occupation information (if applicable, include any "specials" or discounts available to FGCC members): Person 2 First name: Last name: Birthday: Occupation information (if applicable, include any "specials" or discounts available to FGCC members): Anniversary: Email* List the following as our joint email address: List separate email addresses as follows: Person 1 email Person 2 email Address Street address: City*: State: Zip: Phone Numbers Home: Person 1 cell: Person 2 cell: Hobbies / Interests / Favorite Social Activities** Hobbies and interests you enjoy as a couple: Favorite social activities you enjoy with other couples: Person 1 - Individual hobbies, interests, and activities: Person 2 - Individual hobbies, interests, and activities: "Fun facts" about you: Our initials below indicate that we give our permission to be included in the Florida Gulf Coast Couples Member Directory. Use the last four digits of your social security number as your personal ID. Person 1 initials: Personal ID: Date: Person 2 initials: Personal ID: Date:
Florida Gulf Coast Couples, Inc. PO Box 13072 St. Petersburg, FL 33733		© Copyright 2008 Florida Gulf Coast Couples, Inc. Site Maintained by Media & Internet Couple webmaster@fgccouples.com

Florida Gulf Coast Couples, Inc. PO Box 13072 St. Petersburg, FL 33733

Florida Gulf Coast Couples, Inc.
PO Box 13072
St. Petersburg, FL 33733