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Ozark Lakes Directory Questionnaire


If you wish to have your contact information published for your fellow Ozark Lakes member to see and for you to have access to their contact information please fill in the following form and sign the release below.


Your contact information will be password protected and only those people who choose to have their contact information published will have access to others. We will be using Clubexpress as our sever. You can check them out at Once published you can update you information at will. If you choose to remove yourself from the list you will lose access yourself. If you are dropped from the National membership list you will be deleted from our local listing.


You don't need to fill in all of the blanks. Just fill in the information you wish to share.


Your name _________________________________

Significant other _____________________________

Address ____________________________________

City/State/Zip _______________________________

Primary phone number ________________________

Cell number _________________________________

Email address _______________________________

Secondary email address ______________________

A photo of you with you family would be helpful in putting faces with names. Send jpg image to


Signed _____________________________ Date _________


Mail to Richard Moist, 2860 S. Barnes, Springfield, MO 65804 or bring to the next club meeting