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Membership Application
Rotary Club of Sauk Centre
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* Indicates required question
Full First & Last Name + Any Nickname
*
Your answer
Tell us why you think you'd make a good member of the Rotary Club of Sauk Centre:
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Your answer
What do you love about Sauk Centre? It could be anything, just tell us what you're passionate about!
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Your answer
Are you a member of any other clubs/church committees/groups in the area?
Your answer
What Membership Type do you want to apply for?
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Dues + STRIVE Donation + Weekly Meals (~$50/month invoiced quarterly)
Dues + STRIVE Donation + Extra Rotary Donation (~$50/month invoiced quarterly, no meal)
Dues + STRIVE Donation (~$18/month invoiced quarterly, no meal)
Required
Are you interested in automatic ACH withdrawals from your checking account?
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Yes, please send me information about ACH withdrawals every quarter.
No, I would prefer to receive an invoice and pay by personal check every quarter.
Rotary Club of Sauk Centre has a number of Committees you can join based on your interest. We encourage everyone to join at least one Committee. Please let us know what Committees might interest you and we'll get you more information on them:
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Centennial (April 2028)
Community Service (bingo, garbage pickup, community events)
Grants (apply for grants, evaluate money requests from the community)
Marketing (website, social media, events, design)
Membership (recruitment, events, membership costs)
Project Maintenance (help maintain our shelters, gazebos, and more)
Speakers/Programs (recruit and set up speakers or tours)
Roses & Caramels Fundraiser (organize)
STRIVE (11th grade mentorship, 1st Wednesday Noon October-May)
50-50 Raffle Fundraiser (organize)
Youth Exchange (Foreign Exchange Student)
Other:
Required
Date of Birth
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MM
/
DD
/
YYYY
Preferred Rotary Ceremonial Join Date (must be a Tuesday at Noon)
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MM
/
DD
/
YYYY
Preferred Email Address
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Your answer
Preferred Mailing Address (for Rotary Magazine)
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Your answer
Preferred Phone Number
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Your answer
Company Name (if joining as part of your business)
Your answer
Work Phone (if joining as part of your business)
Your answer
Work Address (if joining as part of your business)
Your answer
T-shirt Size
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XS
S
M
L
XL
XXL
XXXL
Other:
Have you been a member of another Rotary Club before?
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Yes
No
If YES to above question, which club were you a member of, how many years were you a member and were you a Paul Harris Fellow?
Your answer
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