Zonta Club of Cortland Membership Application
Thank you for considering Zonta Club of Cortland. Please complete the membership application below and click submit when you are finished.
If you need assistance with this form please contact Karen Gaebler: kgaebler73@gmail.com (607) 749-3322.
Thank you again!
Your Name *
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Firm/Institution/Employer/Retired: *
Your answer
Email Address: *
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Home Address: *
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Address of Employer
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Position/Title or Retired *
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Employment Type: *
Required
Business Telephone
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Mobile/home Telephone *
Your answer
How long have you practiced your profession? *
Your answer
Why would you like to become a member of Zonta Club of Cortland *
Your answer
What are your interests/hobbies? *
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Other organizations to which you belong?
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Who is your sponsor? Or, are you familiar with anyone who is a Zonta of Club of Cortland member?
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Comments
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Month and day of birth (no need to give the year!) *
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