Sign-up: Friendship Logbook

Every box below is optional. As a minimum, however, it's kinda nice if you fill in your name, and a few comments. Of course, it will be extra nice if you fill out the whole form so that all of us will know one another a little better.


"For in that dark space that I must probe --- far, far away and beyond --- nothing is more soothing than a gentle note from a friend!"

1. Name:

2. E-mail:

3. Homepage (if any):

4. SnailMail (Full Mailing Address):

5. Occupation:

6. Your age group:

7. Sex:
Female
Male
8. Education:

9. Academic Major:

10. Citizenship:

If Other, type-in here:

11. Country of Origin:

If Other, type-in here:

12. If you are a Filipino residing abroad, which province in the Philippines are your roots from?


Comments:


Sign the Log Book?

Oops! Modify Entries?


For comments, please contact WebTech