PEP - Group Information 2019-2020

*First Name
*Last Name
*Email
*Is your group still active?
Yes
No
*Please list the NAMES of the participants in your group.

Please do not leave vague answers (full names, please).  This information is very important.  We need the names of the participants for billing, board reports and funding.

*Where are you currently meeting?
*What is your current meeting schedule?

Example:  3rd Thursday of the month

*Is your group currently accepting new members?
Yes
No
If you answered "YES", how many?
Additional Comments
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