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Nekoosa Lions Club - New Member Application
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Email
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Your email
Enter your first and last name
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Your answer
Indicate your gender
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Male
Female
List your mailing address.
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Your answer
Provide your phone number.
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Your answer
What email do you want to correspond with club members and receive club information?
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Your answer
List your birthdate and birth year.
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Your answer
What is your occupation?
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Do you have a spouse/companion you wish to list?
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Please indicate the name of the current club member you consider to be your sponsor.
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