Membership2022

SLO RAM Membership Application

Last Name

First Name

Email

Contact Phone

Address

City

Zip

Birthday

Spouse/ Partner Name

Wedding Date

Have you been vaccinated against Covid?

Yes No

Former Occupation

Military Service

Interests

How did you hear about RAM?

If you plan to attend montly luncheons, do you want the Calling Committee to call or email you every month to make a reservation?

Be Contacted?

Yes No

Sponsor Name (if applicable)