Club Membership Application
Congratulations!  You are embarking on an adventure with Rotary International.  We are 1.2 million members strong world wide!  Thank you for your interest in the Rotary Club of Linn County (Iowa).

The dues are currently $75 per quarter (Jan, Apr, July, Oct), $25 per month or $300 annually.  If adding a spouse, the amount for both of you is $125 per quarter or $500 annually.  
Sign in to Google to save your progress. Learn more
Email *
Legal Name (First & Last) *
Address (Full mailing address) *
Phone Number (mobile) *
Alternate Phone Number (work, home, etc)
What is your birth date?  Rotary would like to be able to track this type of demographic information.
MM
/
DD
/
YYYY
Who is your Rotary Sponsor?  The person who introduced you to Rotary.
Membership Type *
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms