City, State, Zip:
$20 Individual member $30 Family Membership
membership - $300 for individuals, $450 for families.
List Cornish names and areas or Parishes interested in?
What type of articles would you like to see
in the newsletter?
Would you be willing to write any?
Please list any suggestions for what type
of meetings you would like to have and how often?
How far would you be willing to come to a
meeting, picnic, dinner, or ....?
Would you like to help with organizing
Work on newsletter?
Any other suggestions or comments ?
c/o Dot Hosking
1451 Spruce Street, #204
Florence OR 97439
Send completed form to:
Pacific Northwest Cornish Society
If you have any questions, email Bonnie LaDoe, or write to 2376 NE 149th Avenue, Portland OR 97230