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Telephone Directory Enrollment Form*
This information is used to print the Telephone directory. Submit the form if you wish to be listed in the directory.
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* Indicates required question
Enter Your Name
*
Your answer
Enter Your Spouse Name
Your answer
Enter the Child 1 Name (if applicable)
Your answer
Enter the Child 2 Name (if applicable)
Your answer
Enter the Child 3 Name (if applicable)
Your answer
Contact Information
Enter the Email Ids
Your answer
Enter the Contact Numbers
Your answer
Enter Address
Your answer
Address printing preference (you may choose to exclude printing address in the directory)
Print address
Do not print address
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I confirm that I am agreeing to to publish information FOICR telephone directory which will be distributed within the community.
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*FOICR respects patron's privacy and will not share or sell this information to anyone.
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