Willows SeniorNet - Membership

Willows SeniorNet Mailing List Form

Completion of the form below will enter your name into the Willows SNLC mailing list database. Prior to the start of the next session of courses, you will receive notification of the courses offered and the date and time of the sign-up.

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.

Membership Information

First Name:

Last Name:

Street Address:

City:



State:
  Zip:

Phone:



Email:

Year of Birth:

Comment:

Computer Skills

Computer Owned

Non-User

None

Beginner

PC-Compatible/Windows

Intermediate

PC-Compatible/DOS

Advanced

Macintosh

Other/Don't Know

Willows SeniorNet Learning Center
City of San Jose
Department of Parks, Recreation, and Neighborhood Services
Willows Senior Center
2175 Lincoln Avenue
San Jose, CA. 95125
(408) 448-6400

Willows SeniorNet Mailing List Form

Willows SeniorNet Mailing List Form

Willows SeniorNet Learning Center City of San Jose Department of Parks, Recreation, and Neighborhood Services Willows Senior Center 2175 Lincoln Avenue San Jose, CA. 95125 (408) 448-6400

Willows SeniorNet Learning Center
City of San Jose
Department of Parks, Recreation, and Neighborhood Services
Willows Senior Center
2175 Lincoln Avenue
San Jose, CA. 95125
(408) 448-6400