OPTIMIST CLUB OF CAMILLUS, NEW YORK, INC.

P.O. Box 33

Camillus, New York 13031

 

Optimist International Member Invitation

Please type or print clearly

Name: ____________________________   Spouse’s Name: _______________________

Were you ever a JOOI Member?                                      Yes     No

Are you currently a full-time college student?                    Yes     No

 

HOME ADDRESS

Street: _________________________________________________________________

City: _________________ State / Province: ____________  Zip/ Postal Code:_________

Home Phone:  _____________  Fax:  ____________  Email:  ______________________

 

BUSINESS ADDRESS

Firm Name:  _____________________________________________________________

Type of Business:  ________________________________________________________

Street:  _________________________________________________________________

City: _________________ State / Province: ____________  Zip/ Postal Code:_________

Business Phone:  ____________________  Email:  ______________________________

Fax:  ________________________  Business Position or Title:  ____________________

May we contact you at work:   Yes     No

 

YOUR SIGNATURE INDICATES YOUR ACCEPTANCE OF THIS INVITATION.

 

Signature: __________________________________________  Date:  ______________

Sponsor:  ___________________________________________

Optimist Club of _____________________________________

Dates approved by committee:  _____________  by Board of Directors:  _____________

Individuals who have committed sexual offenses against children may

be denied membership and/or have their membership revoked.

 

Please complete and give to your local Optimist Club.

www.optimist.org