Prospective Member Questionnaire

Prospective members may print and mail a questionnaire or apply electronically below. If you are interested in submitting your application through mail, please print and mail to:

Zonta Club of St. Louis

P.O. Box 170083

St. Louis, MO 63117

Download the application here:Download

First Name(required)

Last Name(required)

Email(required)

Phone Number(required)

Address(required)

City(required)

State(required)

Zip Code(required)

Date of Birth(required)

Occupation/Title

Firm/Institution Name

I am a ZONTA Education Award Recipient:

I am applying as a former Z Club or former Golden Z Club member. Club:

I am applying as a former ZONTA Club Member. Club:

ZONTA International is a global network of more than 29,500 members committed to securing a world where gender equality is a reality. The ZONTA Club of St. Louis is only one of many clubs worldwide that participates and supports ZONTA International’s network.

Please confirm the following 3 commitments:

I am committed to upholding the mission and vision of the ZONTA Club of St. Louis and ZONTA International and I shall comply with the rules and policies of ZONTA International. (You may request to view the governing documents by emailing your request to memberrecords@zonta.org).(required)

I give my consent to the ZONTA Club of St. Louis, ZONTA International and ZONTA International Foundation to store the personal membership information I have provided by applying for membership and added during my membership years including photographs taken of me in connection with ZONTA activity on ZONTA’s servers in the USA. I undertake to renew or withdraw this consent on an annual basis.(required)

I undertake not to sell, rent or disclose any member data information in my possession to any third party. For more information please view the ZONTA International Privacy Policy*. The ZONTA Club of St. Louis abides by the same policy.(required)

We want to keep in contact with you and ensure that you are kept up to date with ZONTA’s work globally and locally. Please check the boxes to confirm your agreement to the following:

I would like to receive communications from the ZONTA Club of St. Louis and ZONTA International.(required)

If I become a member, I give my permission to be included in the ZONTA Club of St. Louis membership directory and the ZONTA International electronic membership directory.(required)

Comments

Zonta International Privacy Policy*