MARIN GENERATIONS CLUB
Directory Questionnaire
1. Name of member(s)__________________________________________________________________________________________________
2. Family information:
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Name |
Relationship |
Birth Date |
Address |
Business |
Employer |
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1st |
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2nd |
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3rd |
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4th |
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3. When did your first family member come to Marin and what drew him or her here?_______________________________________________
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4. Is there any historical information about your family you wish to provide? (Feel free to continue on the back or on a separate sheet.)___________________________________________________________________________________
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5. If your family has owned a business in Marin, please describe:
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Name of Business
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Type |
Owner |
Founded |
Closed |
Address |
Telephone |
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6. Please list any potential members you think the Marin Generations Club should know about:
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Name
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Address |
Telephone |
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