Willows SeniorNet

Mailing List Sign Up Form

To learn about the computer courses offered at the SeniorNet Learning Center at the Willows Senior Center, fill out this form and mail it to the address below or leave it at the center.

Five times a year you will receive (by US mail) a brochure with information about the courses in the next session:

  • Descriptions and Prerequisites
  • Schedule
  • Costs
  • Registration Instructions
Couples who wish to have both names in the database, please fill out separate forms for each person.
If you make a mistake after submission, just fill out the form again.

First Name:

Last Name:

Street Address:

City:

  
State:
   Zip:

Phone:

    

Email:

Year of Birth:

Comment:

Computer Skills

Non-User

Beginner

Intermediate

Advanced

Home System

PC/Windows

PC/DOS

Macintosh

Other

Willows SeniorNet Learning Center
2175 Lincoln Avenue, San Jose, CA 95125