Microsoft Word
EXPRESSION OF INTEREST FORM
Please complete this form to express your interest in the
Rotary E-Club of Greater South Oz, D9500, Australia.
Once submitted we will contact you to discuss your application in further detail.
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|Name | |
|Home Address | |
|Postal Address | |
|Home Telephone | |Mobile: |
|Email | |
|New to Rotary? (Yes / No) | |
|Please share with us your interest in joining the club. |
|Please return this form when completed to Club President Graham Fussen |
|Graham@.au |
| |
|or Post to: The Rotary E-Club of Greater South Oz, |
|c/- Rotary District 9500 Inc., |
|Adelaide Halifax St. Post Office, |
|Halifax Street SA 5000 |
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