The Oakleaf Club of San Diego 2019-2020 Membership form
2019-2020 Membership Form
First Name *
Your answer
Last Name *
Your answer
Address (Street, City, State, Zip) *
Your answer
Telephone *
Your answer
Email *
Your answer
Join or Renew? *
Single Membership or Dual Membership? (Dual membership allows your spouse to become a member and join our events!) *
Spouse/Partner Email (*needed for Dual membership only*)
Your answer
Spouse/Partner First Name *
Your answer
Spouse/Partner Last Name *
Your answer
Spouse Military Status: *
Spouse Rank *
Corps: *
Spouse Duty Station *
If NMCSD, Which department? (Examples: "GME", "OB/GYN", "Navy Marine Corps Public Health Center", etc.) *
Your answer
Position *
Special Interest (Check all that apply)
San Diego Neighborhood
Your answer
Birthday Month
Your answer
Children (Names, Month/year of birth)
Your answer
Addition Comments
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Permission to list your info in our membership directory *
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