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New Individual Member Application
This application is for a River Valley community member who has expressed an interest in joining the River Valley Rotary Club. The sponsoring club member fills in the required fields. This application is reviewed by the board and the current year's president who presents the applicant to the membership at-large. Members have 10 days to send objections in writing to the board. Objections are reviewed before a final vote of acceptance is taken.
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Sponsor Information:
Last Name:
*
Your answer
First Name:
*
Your answer
New Member Information:
Last Name:
*
Your answer
First Name:
*
Your answer
Email:
*
Your answer
Nick Name:
This will be listed on a name badge. Enter a name if different than the First Name listed above.
Your answer
Profession or vocation:
*
This will be listed on a name badge (e.g. Teacher, Banker, Engineer, retired.......)
Your answer
Gender:
*
Male
Female
Another Gender Identity
Prefer not to identify
Mailing Address:
This can be either a home or business mailing address. Each new Rotarian receives a copy of the
Rotarian
magazine. This is a monthly publication with informative articles and updates pertaining to the international world of Rotary.
Preferred Address:
*
Home
Business
Street:
*
Your answer
City:
*
Your answer
Zip Code:
*
Your answer
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