Authorization for Listing on Members Page

Rotary Club of Vallejo

 

 

Yes, it is true. As a club member you can be listed on our Club Site.  Like many local clubs, we are setting up a page to list our members, their Rotary Classification, and their company or organization name.  We also are setting up an opportunity to have a link directly to your e-mail address.  all we need is your permission, so please print out this form, fill it in below, sign it showing your acceptance, and return it at our next meeting to Dr. Bob Linville.

Please provide the following information:

Name
Classification
Company/Organization
E-mail
Date  -- mm/dd/yy

     May we use this information on the Vallejo Rotary Members page?  Yes No

     Would you like to have us send you information about the Rotarians on the Internet fellowship? Yes No

     Please print this form then sign on the line below. Then bring it to the next meeting.

     Signature : _____________________________________________________________

                                                                    OR         

     Send the form to us using the buttons below, then confirm at our next meeting.

Robert L. Linville, D.V.M.
Copyright © 2000 [Rotary Club of Vallejo]. All rights reserved.
Revised: June 10, 2008