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Water Buffalo Club Membership Application
Email address *
Last Name *
First Name *
Street Address *
City *
State *
Zip Code *
Office Phone Number:
Home Phone Number:
Cell Number: *
Company Name: *
Title: *
Profession: *
Office Address: *
Sponsor (Name of Current WBC Member): *
Length of Residence in LA: *
Birthday: *
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Colleges Attended: *
Family Information: (Please include marital status, names and birthday of spouse and children): *
Other charitable organizations in which applicant participates: *
Water Buffalo events in which applicant has participated (include dates): *
Water Buffalo members known personally by applicant excluding Sponsors: *
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.
Please tell us why you are interested in joining the WBC. *
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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