Please complete my enrollment in the Spring/Fall 20

Please help us by completing the form clearly. Bring it to your first session of the series.
Date: ..................................................................................................
Please complete my enrollment in the Spring/Fall 20.................... lecture series.
Please circle
WomenExplore P.O. Box 380333
Cambridge MA 02238
Telephone: 617 285 7408
[email protected]
Year
My payment of $135 for the ten-session series was made online:
Receipt number:
........................................................................................................................
Name ………………………………………………………………………………………………………………………………. Phone
Address
.......................................................................................................................................................................................
State & Zip
.......................................................................................
Email
………………………………………………………………………………………….
City/Town
..............................................................................................................................
....................................................................................................................................................................................................................................
What brought you to WE this series? Please tick all boxes that apply.
☐ Been here before ☐ A friend ☐ I saw it advertized. Where? ............................................................................................................................................................................................................
☐ The series theme ☐ The topic ☐ The speaker ☐ Other: .........................................................................................................................................................................................................
WomenExplore continues the proud tradition of TOP, in Harvard Square since 1973.