Optimist Renewal Form

Ashland Optimist Renewal
Name *

First Name Last Name
Email
example@example.com
Phone Number *

Area Code Phone Number
2nd Household Member Name

First Name Last Name
2nd Household Member Email
example@example.com
2nd Household Member Phone Number

Area Code Phone Number
Activities interested in helping with? *

Bingo Bingo Concessions Board Member/Leadership Boys & Girls State Breakfast Meetings Building/Field Rental Cross Country Dictionary Project Facilities/Grounds Fishing Clinic Halloween Spooktacular Oratorical/Essay Contests Optimist Youth Sports Pancake Day Parades Pool Rodeo Safety on Wheels Veterans Breakfast None
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1 Year - Membership $ 80.00

2nd Household Member - Membership $ 40.00

Life Member - Membership $ 40.00

Total $ 0.00
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Ashland Optimist Renewal