Member-Get-A Member Campaign: Referral Submission Form

Member-Get-A Member Campaign: Referral Submission Form

January-February 2023
Existing SIA members who recruit a new member during the Member-Get-A-Member Campaign in January and February 2023 must complete this form to be considered eligible for a cash prize. This form notifies SIA Staff that you recruited a new member during the campaign period so that we may validate their membership and dues remittal was completed.

If you recruit multiple members, you may complete this form multiple times.
Your Email*
example@example.com
Your First Name*
(Existing Soroptimist Member)
Your Last Name*
(Existing Soroptimist Member)
Your Member ID Number*
(Existing Soroptimist Member)
Your Club Name*
(Existing Soroptimist Member)
Your Club ID Number*
(Existing Soroptimist Member)
Your Region Name*
(Existing Soroptimist Member)
New Member's First Name*
(New Member You Recruited)
New Member's Last Name*
(New Member You Recruited)
New Member's Club Name*
(New Member You Recruited)
New Member's Club ID Number*
(New Member You Recruited)
Should be Empty: