If you are interested in the goals and programs of Exchange
and would like to find out more, email us at lorengait@hotmail.com .
Through Exchange, you will have many opportunities to contribute
your time and talents in order to help those who need it.
Print this application and join us for lunch in the Van Ness Room at the Ramada Inn, Shaw and No. Fresno Streets, on any Thursday at 12:00 noon.
| Name: | |
| Residence: | |
| Name of Business: | |
| Type of Business: | |
| Title: | |
| Business Address: | |
| Home Phone: | Business Phone: |
| Spouse's Name: | |
| I hereby apply for membership in the above named Exchange Club (An invitation to membership will be extended only after due consideration of this club in accordance with its Bylaws.) | |
| Signature: | |