• ROTARY MEMBERSHIP APPLICATION

  • Potential members are asked to complete the following information. Starred items(* are required.

    After completing this form, click 'Submit' and the Club you are requesting to join will receive your application. You can also print this form and mail it per your Club's instructions. A copy of this application will be emailed to you.

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  • (Business Position / Job Title)

  • https://www.dacdb.com/SecLogin3.cfm

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  • Is Spouse/Partner a Rotarian?:

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    Pick a Date
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  • HOBBIES & INTERESTS: i.e., golf, fishing, and hunting

  • COMMUNITY LEADERSHIP & OTHER COMMENTS: i.e., community organizations you are involved with (board member, volunteer, etc), projects, organizations, subjects you

    could give a 30 minute talk on to the club.

    https://www.dacdb.com/SecLogin3.cfm

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  • Should be Empty:
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