New Contact Information Page

The purpose of this page is for you to add your membership information to the web site, allowing other PPI members an easy method to contact you for any upcoming parties.

Contact Information

To add your information to the member's list, Please provide the following contact information:

PLEASE USE YOUR TAB KEY OR MOUSE TO MOVE BETWEEN FIELDS
The Enter key automatically submits the form

First Name
Last Name (Only Initial will be used in directory)
Spouse's First Name
Last Name (Only Initial will be used in directory)
Street Address
Address (cont.)
City
State
Zip/Postal Code
Country (I.E. USA, Canada)
Member's E-mail
Spouse's Email
Website Address (If you have one)
Is it ok if we post your photos on the Member's only page?	You - YES / NO Spouse - YES / NO
Member's Birthdate (Month / Day)	/
Spouse's Birthdate (Month / Day)	/
Anniversary (Month / Day)	/
Name a PPI Member Referral. Who referred you to become a member?
	If you would like your phone posted on the member's site, Please include them here.
Home Phone	( ) -
2nd Home Phone	( ) -
Work Phone	( ) - ext.
Cell Phone	( ) -
Spouse's Work Phone	( ) - ext.
Spouse's Cell Phone	( ) -
Do you currently ride Motorcycles?	YES / NO
If Yes. Would you like to be added to the PPI Rider emails?	YES / NO

New Contact Information Page

Contents

Professional Partiers International Webmaster.
Copyright © 2003 PPI. All rights reserved.
Revised: 11/11/09

New Contact Information Page

Contents

Professional Partiers International Webmaster.Copyright © 2003 PPI. All rights reserved. Revised: 11/11/09

Professional Partiers International Webmaster.
Copyright © 2003 PPI. All rights reserved.
Revised: 11/11/09