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Rotary Club 1145 - Sheridan, WY
New Member Application
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Email
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Name
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Home Address
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Phone #
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Business/ Employer Name
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Business/ Employer Address
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Business/ Employer Phone #
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Job Position Title
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Proposed Business
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Email
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Secondary Email (if any)
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Birthday
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Partners Name (if any)
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Children Names and ages if under 18 (if any)
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Previous Rotary Club (if any)
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Some vocational and personal background details that will enhance your activities as a Rotarian
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Proposed New Member Nominated By:
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