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BWWE INTEREST FORM
This Interest Form Is Also Available In The BWWE Information Packet. SEND FOR YOURS TODAY, ITS FREE!
•Black Woman's Wholistic Exchange•
P.O. BOX 6301•ALTADENA, CALIFORNIA•91001-2414
Fill In•Print & Send•To Above Address•
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Membership Is $10/year___$6/6mths Cash, Check, Money Order Only
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I WOULD LIKE TO BE A MEMBER OF BLACK WOMAN'S WHOLISTIC EXCHANGE? ___Yes___No
I WOULD LIKE AN INFORMATION PACKET SENT TO ME:___Yes___No
1. What is your job or profession?
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2. Are you retired?___Yes___No If "yes," what are your current
activities and interests? ___________________________________________
3. Are you a parent or grand-parent?___Yes___No?
4. Are married?___Yes___No.
5. Do you feel better off than your Parents?___Yes___No.
6. If you have adult children, are they better off than you?___Yes___No.
7. If your children are still growing, do you feel they will be better of than you when they become adults?
___Yes___No. ___Don't Know
8. What is your overall out-look for the future (In the next ten years)? Good__Fair__Poor__Don't Know__
9. What do you feel is the most important concern(s) of your community?
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Thank You • WE Appreciate Your Participation • Send This Form To: BWWE - P.O. Box 6301 - Altadena, CA 91001-2414
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