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Mail: SI Pleasanton/Dublin
P.O. Box 51
Pleasanton, CA 94566
E-Mail: info@siPleasantonDublin.org
Meetings: Click here for information regarding Meetings: times, location, map and driving directions.

Level of Interest Survey
To help us better serve you, please take a few moments to fill out this form.

Items in Bold are required.

First Name:
Last Name:
Home Phone:
Work Phone:
E-Mail:
Can you receive calls at work? Yes No
If no, what is a good time to call you at home?
   
Are you interested in service to women in our community? Yes No
   
Are you interested in service to women internationally? Yes No
   
Are you interested in networking with other professional women who also are interested in improving the status of women in our community? Yes No
   
On a scale of 1 - 10 (10 being the highest) indicate your level of interest in being a part of the new Soroptimist Pleasanton/Dublin Club.
 
Any additional comments:

 

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