BOARD OF DIRECTORS MEMBERSHIP APPLICATION

Name
First Last
Email
Phone
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Reference
Employment
Acknowledgement of Duties
- Yes, I can attend regular evening monthly Board meetings.
- Yes, I'll also volunteer as a member of a DRC committee.
- Yes, I am willing to make donations and participate in fundraising of DRC
Statement

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