CLA

MEETING INFORMATION SHEET

1. Contact Name *	__________________________________________________
2. Contact Phone Number *	__(               ) __________ - ____________________
3. State	______
4. City	__________________________________________________
5. Address	__________________________________________________
6. Building or Location	__________________________________________________
7. Meeting Room or Floor	__________________________________________________
8. Meeting Day(s) of the Week or Date	__________________________________________________
9. Meeting Time(s)	____:____ a.m. p.m. (circle one) to ____:____ a.m. p.m. (circle one)
10. Notes	__________________________________________________

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Note: In keeping with our policy of anonymity, items marked with an asterix (*) will NOT appear on the Web Site, only in the Directory.

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Please fill out as many items as possible and mail to:

     CLA
     P. O. Box 91413
     Los Angeles, CA 90009-1413
     U.S.A.

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