Club Membership Registration Form

New Member Proposal Form

Thank you for considering Edina Morningside Rotary Club for your Rotary home! Please enter your information in the form below. Once completed, the form will be emailed to Edina Morningside Rotary Club at edinamorningsiderotary@gmail.com. All applications will be reviewed for approval by the club board and directors. PLEASE be our guest at club meetings while we review your application for approval. Questions? Please send us an email at edinamorningsiderotary@gmail.com.
Your Name

First and Nick NameLast
Home Address

Your Home Street Address. Apartment Number

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Business Information

Your Employer/Business Name

Your Business Street Address, Suite Number

CityState / Province

Postal / Zip Code
Your Preferred E-mail Address
Your Preferred Phone Number

Area CodePhone Number
Your Birth Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Your Anniversary Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Your Spouse's Name

First and Nick NameLast
Preferred way to contact
Name of your Sponsor
Please tell us the name of the EMRC member who will act as your Rotary sponsor
Past Rotary Member and When?
Please tell us the name of your former Rotary club and the dates you were a member.
Tell us about yourself
Please list any civic involvement, honors and awards, social connections you have.
How did you hear about us? Choose all that apply.
Please send us a Short Bio and Headshot Photo

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Thank you for completing this application.

The club membership director will present your application to the club board of directors for approval. Once approved, we will post your bio and photo on the club website so our club members can get acquainted. Please attend our upcoming meetings; you can see the schedule on our website at www.emrotary.org.

Click the Submit button when you're ready to send us your application.
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New Member Proposal Form