Please complete the form below for our club roster and submit. Please also email a photo (head shot) for the roster also to the roster chair. Thank you. We will also email you an electronic copy of our club roster. Please enable JavaScript in your browser to complete this form.Name *FirstMiddleLastBirthday (Month/Day/Year)Name of Employer/BusinessPositionBusiness Addressaddress lineCity, State, Zipcodeaddress lineWork Phonearea code+numberHome Addressaddress lineCity, State, Zip Codeaddress line Home Phonearea code+numberCell Phonearea code+numberEmail *Preferred Method of Communication:Type in email or phone number as preferred method of contact or both if either is fineSpouse/Significant Other:AnniversaryMember of Other Organizations (List):Soroptimist Offices Held, Year, & Indicate if a Soroptimist club other than SI Boise:Soroptimist Committees Chaired/Served On: (year & indicate if a Soroptimist club other than SI Boise)Submit