Please fill in the following information about yourself:
Name:
Address:
E-mail address:
Fax #:
May we print your e-mail address on our Website? Yes ___ No ___
Write a short message about what you are doing these days and
what is new in your life:
Do you know someone who might like to attend INTERLINK? Remember,
there is a discount for family members. Please fill in the information
below for anyone who would like to receive a brochure and application:
Name:
Address:
E-mail address:
Fax #:
Are you in touch with other former INTERLINK students? Please
tell them to contact us or write their names, fax numbers and e-mail addresses
here:
1.
2.
3.
4.
5.
Thank you and let's stay in touch!