berlinocoptimist@gmail.com
Home
About
Programs and News
Fundraising
Membership
Calendar
Gallery
Contact
Membership Application
URL
This field is for validation purposes and should be left unchanged.
Name
(Required)
First
Last
Were you ever a Junior Optimist Member?
(Required)
Yes
No
Are you currently a full-time college student?
(Required)
Yes
No
Home Address
Address
(Required)
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Home Phone
(Required)
Cell Phone
(Required)
Email
(Required)
Business Address
Company Name
(Required)
Type of Business
Business Address
(Required)
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Work Phone
(Required)
Work Email
(Required)
Business Position or Title
(Required)
May we contact you at work?
(Required)
Yes
No
Your digital signature indicates your acceptance of this invitation
Digital Signature
(Required)
Date
(Required)
Sponsor
(Required)
Optimist Club of
Optimist International Member Interest Finder
Greater satisfaction and benefit come from participation in Club activities through committee membership. Check all that apply:
Untitled
Community Service: Determines, plans and supervises community serving projects.
Fellowship: Stimulates attendance, greets members and guests. Promotes fellowship beyond Club and community.
Finance: Plans and supervises the budget.
Membership: Plans and executes a year-round program for acquiring new members.
New Club Building: Conducts all activities involved in sponsoring a new Optimist Club.
Programs: Develops and executes plans to provide interesting programs for Club meetings.
Youth Activities: Determines, plans and supervises youth projects.
