Name
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First Name
Last Name
Current Email
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Phone
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Name
Partner (if applicable)
First Name
Last Name
Current Email
Phone
(###)
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If you added to your family recently, what are your children's names and ages (month and year)?
Home Address
(Only needed if you moved since October of last year)
Address 1
Address 2
City
State/Province
Zip/Postal Code
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Interests
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We know your interests may have evolved and we would love to keep current, so please select as many as apply!
Hosting Details
If you are interested in hosting an event in your home, would you be able or interested in accommodating:
Do you know any members who would be great additions to our board? Do tell.
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Our bylaws and membership terms are available here, on our website. Thank you!
