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MEMBER APPLICATION

Instructions:

The Rotarian proposing the New Member must be an active member and must be a member in good-standing. The Membership Proposal Form is to be completed in its entirety. 

Proposed Member’s Information

Date of Birth
Month
Day
Year
Current Member of Another Rotary Club?
Yes
No
Former Rotarian?
Yes
No

Sponsor's Information

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Date
Month
Day
Year
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