Join a Group Name First Last Email AgeOccupationHome Address (including zip code)Best Contact Phone NumberAre you interested in a B.E. Connected Group with activities predominately oriented toward: (please check all that apply) In-depth Study Family Activities Social Action Holiday Celebration Other (please describe)If you are interested in a group with mixed activities, please indicate those which are most important to youPlease list other folks who have expressed a desire to be in your B.E. Connected GroupAdditional Information that would be helpful in placing you in a B.E. Connected Group
