Friends for a Greater Centralia

Contact Us

 
 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 
* Name: 
* Current/Retired Occupation: 
Title: 

Spouse:  Maiden:

* Address:         
         
* City:  * State:  * Zip: 
Phone Number: 
* Email Address: 

   Do you have close family or friends living in the Centralia  
  area? Yes   No
   Would you be willing to be included in the effort to grow the  
  greater Centralia area? Yes   No
   Do you plan to attend the Fall Festival/Halloween Parade?  
    Yes   No
  Do you plan to visit the area in the next year?  
    Yes   No

  Please check areas of interest.
  Providing contact names   Serving on planning committees
  Making direct business
contacts
  Funding community and
scholarship projects
  Personally investing in the
community
  Relocating/retireing in the
greater Centralia area
  Other areas of interest (Please specify below.)
   
Click the Button Below To:
Then Wait for Acknowledgment.

Note:  * These items are required.
 
  rev. 10/3/2008