SOROPTIMIST INTERNATIONAL OF AMERICAN CANYON NEW MEMBER FORM
We are so glad that you want to join us! We love new members and are excited you are here! The following information is submitted in the belief that the person named below is eligible for membership in
Soroptimist International of American Canyon. Some of this information will be used for the S.I. American Canyon Roster issued to all members.
* Required
First and Last Name
*
Your answer
Birthdate
*
MM
/
DD
/
YYYY
Address (We deliver goodie bags at times and also send out a monthly newsletter so please use the best address to receive these two things)
*
Your answer
Phone Number
*
Your answer
Email Address
*
Your answer
Who is Sponsoring You? (If no sponsor we will have one appointed to you!)
*
Your answer
How do you wish to pay?
*
Cash
Check (for check please mail to 11C Poco Way #128, American Canyon, CA 94503)
Paypal (
soroptimistac@gmail.com
)
Venmo (@Soroptimist-AmericanCanyon)
Date this questionnaire is submitted
*
MM
/
DD
/
YYYY
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