Free Rotary Membership Form Template

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Free Rotary Membership Form Template

Rotary Membership Form

Please fill out the form with your information below.

Name

    Email Address

      Phone Number

        Occupation

          Company/Organization Name

            Type of Membership

              • Active Member

              • Honorary Member

              • Corporate Member

              Have you previously been a member of any Rotary Club?

              Please specify club name and location

                Areas of Interest in Rotary

                  • Community Service

                  • International Projects

                  • Leadership Development

                  • Public Relations

                  Are you willing to participate in club activities and meetings regularly?

                  Consent & Agreement

                  I confirm that the information provided is accurate. I understand that my membership is subject to approval by the Rotary Club. I agree to abide by the Rotary Club’s principles, ethics, and service commitments.

                  Name:

                  Date:

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