CHEERS to 20 YEARS

Thank you for staying in touch!

Use the form below to complete and submit your contact information.

Please provide your preferred mailing address and email. We will then add you to mailings and/or email efforts that give you the latest news about Exploration Place.

If you have any questions about the form, or would like to give your updates by phone/email, please contact the development office at 316-660-0665 or development@exploration.org.

Your information is confidential and will not be shared with any other entities outside Exploration Place.

Name:
Home Phone:
-
Cell Phone:
-
E-mail:
Address:
I prefer to be sent correspondence and invitations by:
Notes/Comments:

If you have a spouse, partner, child, sibling or another relative that should also receive information about Exploration Place, please complete the Other Contact section(s) below. If there are no additions please scroll to the bottom and click Submit.



1st Other Contact
1st Other Contact Home Phone:
-
1st Other Contact Cell Phone:
-
1st Other Contact Email:
1st Other Contact Address:
I prefer to be sent correspondence and invitations by:(1)
1st Notes/Comments:
2nd Other Contact:
2nd Other Contact Home Phone:
-
2nd Other Contact Cell Phone:
-
2nd Other Contact Email:
2nd Other Contact Address
I prefer to be sent correspondence and invitations by:(2)
2nd Notes/Comments:
3rd Other Contact:
3rd Other Contact Home Phone:
-
3rd Other Contact Cell Phone:
-
3rd Other Contact Email:
3rd Other Contact Address:
I prefer to be sent correspondence and invitations by:(3)
3rd Notes/Comments :