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SOROPTIMIST INTERNATIONAL OF AMERICAN CANYON NEW MEMBER FORM
We are so glad that you are interested in joining our club. If you need more information first, feel free to check out our website at
acsoroptimist@gmail.com
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First and Last Name
*
Your answer
Birthdate
*
MM
/
DD
/
YYYY
Address
*
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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