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Water Buffalo Club Membership Application
Email address *
Last Name *
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First Name *
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Street Address *
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City *
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State *
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Zip Code *
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Office Phone Number:
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Home Phone Number:
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Cell Number: *
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Company Name: *
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Title: *
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Profession: *
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Office Address: *
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Sponsor (Name of Current WBC Member): *
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Length of Residence in LA: *
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Birthday: *
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Colleges Attended: *
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Family Information: (Please include marital status, names and birthday of spouse and children): *
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Other charitable organizations in which applicant participates: *
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Water Buffalo events in which applicant has participated (include dates): *
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Water Buffalo members known personally by applicant excluding Sponsors: *
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Please provide any additional contact information that you wish to provide such as an alternate email address, or an email contact for your spouse etc.
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Please tell us why you are interested in joining the WBC. *
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By submitting this form, you are applying for membership to the Water Buffalo Club which is a private organization that has mandatory annual dues and minimum charitable giving requirements. *
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