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Information/Contact Request Form




Just four simple steps to help us get you the information or response you need.



1. Tell us why you want us to get in touch with you.

if Other, please describe.


2. Enter your detailed comments/request/need in the space provided below.
(We don't care about your race, your height or weight or a bunch of other things.  This isn't like a personal ad.)


3. Tell us how to get in touch with you:
The ONLY mandatory information is an email address, a name and why (above) you are contacting us. (Forms without mandatory information will be ignored.)

Email Required
If you leave off your email address, without an explanation of why,  you will not get a response from us.
Name  useful
Gender Name Required
Address - Optional
Street
City
State
Zip
We do better supporting people local to Cleveland...but we'll help anyone if we can
Phone - Optional
(xxx) xxx-xxxx
In order to avoid helping out pranksters we do not leave phone messages until after initial contacts by email are made.

If you want to be contacted by phone, please answer the following:

Name to Use
Safe to Leave a Message?
What Time Should Someone Call?


Please contact me as soon as possible regarding this matter.

Please send me notification by email when a new edition of newsletter is published.
     (This only works if you've included an valid email address)


4. Other Information
Here are some other pieces of optional information that can help our contact person help you

Married, Separated, Divorced, Widower, Single?

Children?

If Married and/or children who knows about you?

Wife  Children

Is Crossdressing an Issue at home?  Yes  No


All information you provide is confidential.  The Alpha Omega Society will not share your information with others, send you unsolicited email or make any contact with you not specified above.















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We provide speakers to schools and organizations as part of our outreach program
E-Mail Outreach