CLA

                         MEETING INFORMATION SHEET
                            (Text Only Version)
                    (press the "BACK" button to return)

     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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         © 1993, 2005 by Clutterers Anonymous World Service Organization