Membership 2020-2021
Please fill out the following information necessary for new and returning members!
Option A - Membership + T-shirt: $15
Option B - Membership Only: $10
Option C - T-shirt Only: $10
Venmo: @CampusRotaractClubDavis
* Required
Email address
*
Your email
Which option will you be purchasing today?
*
Option A (Membership + T-shirt $15)
Option B (Membership only $10)
Option C (T-shirt only $10)
First Name
*
Your answer
Last Name
*
Your answer
New Member or Returning Member?
*
New Member
Returning Member
Email
*
Your answer
Phone Number
*
Your answer
Birthday (for shout outs)
MM
/
DD
/
YYYY
T-shirt Size
XS
S
M
L
XL
Clear selection
Payment Method
*
Venmo @CampusRotaractClubDavis
Cash
Check
Your Total ($)
*
Your answer
Date of Payment
*
Your answer
Questions/Comments/Concerns:
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Send me a copy of my responses.
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