Corporate Membership Proposal

Corporate Membership Proposal
Part 1: To be completed by the proposed lead member
Name

First Name Last Name
Home Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Preferred E-mail Address
example@example.com
Preferred Phone Number
Please enter a valid phone number.
Birthday

Month Day Year
Date
Number of years in Princeton
Spouse/Partner Name

First Name Last Name
Wedding Anniversary

Month Day Year
Date
Business Name
Business Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Title or Position
Nature of Business or Profession
Community Activities
Have you ever been a Rotarian? If so, when and where?
Is your company aware of and agrees to the financial requirements of being a Rotarian?
Does your company agree to collectively attend at least 50% of regular meetings or other Rotary events?
Are you and the proposed auxiliary members willing to commit to serving on club committees?
Signature of proposed lead member:

Clear
Date of Signature

Month Day Year
Date
Part 2: Please list the proposed Auxiliary Members

Corporate Membership Proposal Proposed Auxiliary Members
#1 Name

First Name Last Name
Home Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Preferred E-mail Address
example@example.com
Preferred Phone Number
Please enter a valid phone number.
Birthday

Month Day Year
Date
Number of years in Princeton
Spouse/Partner Name
Wedding Anniversary

Month Day Year
Date
#2 Name

First Name Last Name
Home Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Preferred E-mail Address
example@example.com
Preferred Phone Number
Please enter a valid phone number.
Birthday

Month Day Year
Date
Number of years in Princeton
Spouse/Partner Name
Wedding Anniversary

Month Day Year
Date
#3 Name

First Name Last Name
Home Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Preferred E-mail Address
example@example.com
Preferred Phone Number
Please enter a valid phone number.
Birthday

Month Day Year
Date
Number of years in Princeton
Spouse/Partner Name
Wedding Anniversary

Month Day Year
Date
Part 3: To be completed by the proposer or sponsor
How long have you known the proposed lead member and in what capacity?
Describe the proposed lead member's character and habits that you believe will make them a good addition to Princeton Rotary?
Should be Empty: