Rotary Discovery & Charter Interest Form
Share your contact details and preferences so we can follow up about the July 30 meeting and a new Rotary club in Southern Boone.
First & Last Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Where do you live or work?
Occupation / Employer
What interests you most about Rotary?
Community service
Making a difference in Southern Boone
Meeting and connecting with others
Professional networking
Leadership opportunities
Supporting youth and education
International service
Fellowship and social activities
Learning more about Rotary
Other
Are you planning to attend our Rotary Discovery Meeting on Thursday, July 30 at 5:30 PM?
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Yes – I plan to attend
Maybe – I'm interested but not sure yet
No – I can't attend July 30, but I'd like more information
Would you be interested in learning more about becoming a charter member of a new Rotary club serving Southern Boone?
*
Yes – definitely interested
Maybe – I'd like to learn more first
Not sure yet
I'm primarily interested in learning about Rotary
How did you hear about this opportunity?
Facebook
Friend or colleague
Current Rotarian
Local business/community organization
Southern Boone Chamber/community connection
Other
Is there someone else you think we should invite?
Anything you'd like us to know or any questions about Rotary?
Submit
Should be Empty: