Men's Talk Registration Form

Men’s Talk – Expression of Interest

Thanks for your interest in joining a Men’s Talk group. This is a simple form to let us know you’re interested. Groups are small (6–8 men), so spots are limited.
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Age Range
Why are you interested in Men’s Talk? (Just a few words is fine)
Are you

Recently retiredPlanning to retire soonAlready retired a while ago but want more purpose
Preferred Time

Weekday Afternoon (2pm)EveningsEither work for me
How did you hear about Men’s Talk?
Final Section

I understand this is an expression of interest only, and someone will contact me with more details.
Should be Empty:

Men’s Talk – Expression of Interest