Simply Caring Angels
Application Form For Membership
We are sorry to inform that this moment we are closed for any new memberships!
Please fill out our Simply Caring Angels Application form!
At this present time SCA is closed for any activity's. If you would like to be a future member, please email us or add it to this form and we will enter in contact with you meanwhile so you can be ready when we have the "Grande" Re-Opening in SCA!

Please tell me your name:
Please enter your e-mail address:
Please enter your Website URL:

Please provide me your alternative Email-addy's and Website URL.s!

Please provide me your Country / State / Town!

1) How old are you?

Under 18 years old

Between 18 and 24 years old

Between 25 and 34 years old

Between 35 and 44 years old

More than 44 years old

2) Are you:

	Female
	Male

3) How often do you visit my page?

	Every Day
	Once per week
	Once per month
	Once per year

4) Are you interested in a membership in SCA?

	Yes
	No

5) What are your favorite activities by your computer?
You may select more than one.

	HTML
	Graphics
	Writings
	Events
	Socials
	Helping Others

6) Please provide us with your chosen Angelname, likes and dislikes.
What are you expecting from SCA?
And why you would like to join us *S*?

7) How did you heard about us?

8) How much time do you think you will have for SCA?

Thank you so very much for your attention and your reply's to this survey
This is very importante and will help us for the future.
We wish you very welcome as a future member of SCA,
after we have been visiting your website and seen it fills all our requerements.
Please now be patient and wait for our contact!
Meanwhile you can go and read here: http://titanix.net/~sca/future.html

9) What do you think of this Application?