Expression of interest form

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Please answer the questions below if you are interested in finding out more about the Rotaract Club of Diamond Valley.

We will only use this data to contact you about the Rotaract Club of Diamond Valley. Please let us know if you no longer wish to be contacted.

Thank you!

Email *

Full name: *

Best contact phone number: *

Preferred method of contact *

Phone

Either

Best time to contact:

Please specify days of the week and times that best suit you.

Postcode:

We are currently meeting online, but previously met in Eltham and Montmorency in Victoria, Australia. This information helps us understand where potential members are based.

How did you hear about Rotaract?

Which of the following best describes you?

I am interested in joining the Rotaract Club of Diamond Valley as a member

I am interested in finding out more about Rotaract

I am a Rotarian or have participated in a Rotary program and want to keep up to date with activities

Other:

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