Soroptimist International of the North Atlantic Region

Thanks for your interest in Soroptimist. If you are an accomplished business or professional woman who wishes to improve the lives of women and girls in an atmosphere of support, friendship and fun, then joining Soroptimist may be right for you. Membership is extended on the club level.

If you are interested in being contacted by a club in your area, please complete the following introduction form. Fields marked with an asterisk(*) are required.

Name*
Home Address*
Address 2 (if needed)
City*
State/Province*
Zip Code*
Country*
Daytime Telephone*	Use format 999-999-999
Name of Employer
Occupation
Business Address
Address 2 (if needed)
City
State/Province
Zip Code
Country
Email*
Desired Club Locations
Birth Date	Use format MM/DD/YYYY

Please describe your professional/career history*

How did you hear about Soroptimist?

Why are you interested in joining Soroptimist?*

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