Rotary Ottawa South Corporate/Organization Membership Form

Corporate/Organization Membership Application

Recognizing the growing importance that corporations and organizations place on corporate social responsibility, Rotary Ottawa South is pleased to offer a corporate/organizational membership. These memberships invite businesses and organizations to participate in giving back to the community through the well-organized systems and structures of Rotary. Rotary provides a medium to learn about community needs in a variety of areas and learn about and participate in fundraising and volunteering in ways that truly impact the community. Membership in Rotary also offers an excellent vehicle for staff leadership development. Please complete this application form to be considered for membership in Rotary Ottawa South.
Business/Organization Name
Please briefly describe what products or services your business/organization provides.
Business/Organization Address

Street Address

Street Address Line 2

CityProvince / State

Postal / Zip CodeCountry
Business/Organization Phone Number

Area CodePhone Number
Business/Organization eMail
example@example.com
Business/Organization Website Address

Proposed Primary Member

First NameLast Name
Title / Role of Proposed Primary Member in Business/Organization
Title / Role
Proposed Primary Member was a past participant in a Rotary International or Rotary International Foundation programs (such as Rotary Youth Exchange).

YesNo
Personal Address of Proposed Primary Member

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number of Proposed Primary Member

Area CodePhone Number
eMail of Proposed Primary Member
example@example.com

Proposed Associate Member #1

First NameLast Name
Proposed Associate Member #1 was a past participant in a Rotary International or Rotary International Foundation programs (such as Rotary Youth Exchange).

YesNo
Personal Address of Proposed Associate Member #1

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number of Proposed Association Member #1

Area CodePhone Number
eMail of Proposed Association Member #1
example@example.com

Proposed Associate Member #2

First NameLast Name
Proposed Associate Member #2 was a past participant in a Rotary International or Rotary International Foundation programs (such as Rotary Youth Exchange).

YesNo
Personal Address of Proposed Associate Member #2

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number of Proposed Associate Member #2

Area CodePhone Number
eMail of Proposed Associate Member #2
example@example.com

We prefer Rotary correspondence sent to

Business address onlyPrimary Member onlyPrimary and Alternate MembersOther
Please briefly describe why your business/organization is interesting in joining Rotary Ottawa South.
Is your business/organization or any of the proposed members past members of a Rotary Club?

YesNo
If yes, which Rotary club(s)?
To understand the benefits and responsibilities of Corporate membership and the operation of our club, be sure to review membership information on our website.
Please confirm that you have read and understand the benefits and responsibilities associated with Rotary membership, and agree that as members you will promote the ideals and values of Rotary.

We understand
Once you submit your application, we will contact you shortly to complete the membership process.

Thank you!
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Corporate/Organization Membership Application