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Rice Lake Rotary Membership Application
Thank you for your interest in joining the Rice Lake Rotary noon club! Please complete the following application. We meet every Thursday at noon for lunch at Lehman's.
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Email
*
Your email
Type of membership requested
*
Regular ( Club dues: quarterly $41 plus weekly meal charge of $14--Average $215/quarter.)
Provisional (No club dues charged, $50 for one quarter of meeting with lunch.)
Name
*
First and last name
Your answer
Preferred name for nametag (shortened or nickname)
*
Your answer
Sponsor (current member of the club)
*
First and last name
Your answer
Birthdate
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MM
/
DD
/
YYYY
Phone number
*
Your answer
Address
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Your answer
Business Name
*
Your answer
Job Title
*
Your answer
Describe why you want to join, and what you hope to get out of your membership?
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Your answer
Do you have specific interests / specific causes you support or are passionate about?
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Your answer
How do you like to spend your free time? Hobbies / Interests / Activities?
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Your answer
Which committees would you be interested in learning more about and / or joining? (Select at least three)
Fundraising
Grants
Public relations / Communications / Social media
Membership
Youth Rotars
Social Activities
Service projects
Youth exchange
A copy of your responses will be emailed to the address you provided.
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