Sun Prairie Optimist Club
  Bringing out the Best in Kids
 
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   April 2017   
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Optimist Membership Application


Thank you for your interest in joining our club. Our club is a group of volunteers dedicated to working with and helping the youth in the our area. Please complete the following information and we will contact you as soon as we review your application.
Required Information

First Name:
Last Name:

E-Mail:




Home Phone:




Additional Information
Were you ever a JOOI Member? Yes No
Are you currently a full-time college student? Yes No


  Additional Information

Address Main:


Address Cont'd:


City:




State:



Zip:
Fax:
Cell Phone:


  Business Address

Firm Name:


Type Of Business:


Business Position or Title:



E-Mail:



Address Main:



Address Cont'd:



City:
State:
Zip:
Business Fax:

Business Phone:


May we contact you at work: Yes No


  Sponsor
Did someone recommend you to join our organization? If so, please let us know which club and club member recommended you?

Optimist Club Of:



Sponsor:


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