Membership Application Membership Application Title Full Name(required) Email Address(required) Mailing Address (residential) Mailing Address (business) Telephone (residence) Telephone (business) Telephone (mobile) Fax Proposed Classification Rejoining or a former Rotarian? Yes No If yes, please list previous club name Previous membership dates Previous Rotary membership ID Recent Rotarian? (One year or less) Yes No Object of Rotary is to encourage and foster the ideal of service as a basis of worthy enterprise and, in particular, to encourage and foster; First: The development of acquaintance as an opportunity for service; Second: High ethical standards in business and professions, the recognition of the worthiness of all useful occupations, and the dignifying of each Rotarian’s occupation as an opportunity to serve society; Third: The application of the ideal of service in each Rotarian’s personal, business, and community life; Fourth: The advancement of international understanding, goodwill, and peace through a world fellowship of business and professional persons united in the ideal of service. I would like to be considered for membership and understand that submission of this form does not guarantee membership. I understand that membership dues are $120 per year (billed quarterly and meals are $10 per week even if I don't attend and are billed in advance. I will receive a credit for a missed meal to my account when I attend another meeting either locally or at another club and present a make up card given to me at that meeting.) I have reviewed the Object of Rotary and agree to these terms.(required) Yes No Signature and Date(required) Submit Δ Share this:TwitterFacebook