Willows SeniorNet

Mailing List Sign Up Form

Willows SeniorNet Learning Center
2175 Lincoln Avenue
San Jose, CA. 95125


To learn about the computer courses offered at the SeniorNet Learning Center at the Willows Senior Center, CLICK: Submit OR fill out this form and mail it to the address above OR leave the filled out form at the Willow Glen Community Center Office. (Three choices.)

Four times a year you will receive (by US mail) the registration mailer with information about the courses in the next session:

      Couples who wish to have both names in the database, please fill out separate forms for each person.
      If you make a mistake after submission, just fill out the form again.

First Name:        

Last Name:        

Street Address:              

                 City:        

              State:               Zip:                    

           AREA:                Phone:                  

             Email:          

                          Send Registration Mailer:

                               Scroll down to SUBMIT

   Year of Birth:       

       Comment:   

      

Willow Glen Community and Senior Center
2175 Lincoln Avenue San Jose, CA 95125