THE SOUTH FLORIDA TEXAS-EXES
WEB PAGE VISITOR REGISTER

Thank you for visiting the South Florida Texas-Exes Web Site. Please take a moment to complete our registration form so that we may have a better idea of who is accessing our web site and what we can do to improve your visit. When you have completed the survey, please press the Submit Your Response button at the bottom of the page.

1. Name:

2. Degree & Graduation Year:

3. Street Address:

4. City / State / Zip:

5. Telephone Number:

6. Fax Number:

7. E-Mail Address:

8. Current Employer:

9. Where did you hear about our web site?

10. Which are your preferred locations for events? (Click all that apply)
            Coral Gables
            Coconut Grove
            Aventura / North Miami Beach
            Miami Lakes
            Hollywood
            Pembroke Pines
            Ft. Lauderdale

11. Would you like to participate in Family Events? Yes No

12a. Would you be willing to host an event in your own home? Yes No
12b. If yes, what type of event?

13. What type of events would you like to participate in? (Click all that apply)
            Football Games
            Thirsty Thursdays
            BBQ Party
            Marlins Games
            Picnic
            Beach Party
            Golf Outing

14. Would you be willing to pay an annual chapter membership fee of $25 or less? Yes No

15. Please add any comments about yourself and what we can do to serve you better?