George Bernard's Private Parties Mailing list!

George Bernard's Private Parties - are by invitation only! Enter your information below, so that YOU can be included on the mailing list of upcoming special events.

If you are between the ages of 28 and 49, and you wish to attend a George Bernard 'PRIVATE PARTY', then please fill in the following. You will then be sent party invitations. However, to remain on the mailing list as a new member, you must shortly ATTEND or you will be permanently removed from the mailing list. US POSTAL MAILINGS COST MONEY!!

General Information:

First Name:
Middle Initial:
Last Name:
Your E-Mail address:
Male/Female?: Male Female
Mailing address:
Apt #:
City, State, Zip:
Country:
Age:
Phone #.(Home):
Phone #.(Office):
Occupation:
Referred by:
(identify which newspaper,
magazine, person-give name)