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Fill out the following form every Spring and Fall and either email or snail-mail it to the SIGs Officer, Andrew York. Contact information for him can be found in the Officer Listing. Deadlines for submissions for this form can be found on the Deadlines Listing.
COORDINATOR INFORMATIONName of Coordinator: Address: City/State/ZIP: Email:
Telephone number(s) Mensa Membership number:
SIG INFORMATIONNewsletter Name: Number of Members: Estimated Percent Mensan: Number of newsletters published this half of the year:
DIRECTORY CHANGESIndicate any changes to your directory listing (limit to 200 characters)
OTHER INDICATORSDo you wish your SIG listed on any computer lists (such as CompuServe, etc.): Does your SIG accept/seek International members: Does your SIG exist solely in an electronic format (such as a mailer, enewsletter, etc.):
Co-Coordinator / Editor InformationName: Address: City/State/ZIP: Email:
Telephone number(s) Mensa Membership number:
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