Soroptimist
International of South Lake Tahoe
Application for Membership
PLEASE PRINT CLEARLY USING BLACK INK
NAME__________________________________________________________________________________________________________
FIRM NAME
___________________________________________________________________________________________________
TITLE OR POSITION HELD _____________________________________________________________________________________
NATURE OF BUSINESS
_________________________________________________________________________________________
BUSINESS PHONE ___________________________________________________
BUS. FAX ___________________________________________________________
BUSINESS MAILING ADDRESS
________________________________________________________________________________
BUSINESS PHYSICAL ADDRESS
_______________________________________________________________________________
BUSINESS E-MAIL ADDRESS
__________________________________________________________________________________
Other Business Interests (please
describe)___________________________________________________________________________
HOME PHONE _________________________________ HOME FAX
_________________________________________________
HOME MAILING ADDRESS
___________________________________________________________________________________
HOME PHYSICAL ADDRESS __________________________________________________________________________________
HOME EMAIL ADDRESS
_____________________________________________________________________________________
{Please mark (**) the contact information
you would like Soroptimist to primarily use}
Would you like your birthday listed in the Newsletter? YES NO Month_____Day______
FAMILY MEMBERS:_____________________________________________________________________________
ORGANIZATIONS / AFFILIATIONS / OTHER
INTEREST____________________________________________
________________________________________________________________________________________________
Mail
application to: SISLT Stateline , NV
89449 To be completed
by Soroptimist Sponsor. APPLICANT
NAME:
______________________________________ Sponsor: How long have you known
this person? ___________________ How do you know the
applicant? To be
completed by Recruitment and Retention Committee. Date Application Received Date Presented to the
Board Recruitment
& Retention Comm. Date Letter of Invitation
Sent Orientation Date Induction Date Attendance Committee
Notified Newsletter Notified Roster Notified Treasurer Notified Fees Paid Committees Classification: Index Number: Membership Type: