Microsoft
ROTARY CLUB OF GREENWOODMEMBER INFO UPDATEHelp us keep our records current and up-to-date! We would like to update and/or verify the information in our club’s database.Please take a few moments to complete this form. Return it to Lelion at the Lobby Registration Desk or email it to him at lelion.d.elledge@: Name: _____________________________________________________ Home Address: ______________________________________________ City, State, Zip: ______________________________________________ Business Name: _____________________________________________ Title: ______________________________________________________ Business Address: ____________________________________________ City, State, Zip: ______________________________________________ Preferred Rotary Address: Circle either #2 OR #5 Home Telephone #: ______________________ Business Telephone #: ____________________ Cell Phone # ____________________________ Preferred Phone: Circle #8 OR #9 OR #10 Home Email: _____________________________________________ Business Email: ___________________________________________ Preferred Email: Circle #12 OR #13 Date of Birth: _______/_________/_________ Spouse’s Name: _________________________ Wedding Anniversary Date: ________________ ................
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