Online Membership Application

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Thank you for wanting to become a member of the Omaha Rotary Night Club! To make it easier to process your membership, please fill in the information below. You will then be sent a link to our website where you can make additions or changes to your profile.

To process your application, we need at least your business or personal address, email. phone number and gender.

When you log in, please add a picture and your birthdate: while not required, it does help with reporting.

Name *

Email *

Primary Address *

Is your primary address:

Home

Work

Phone number

Company or Profession

Gender

Male

Female

Prefer not to say

Clear selection

Are you a former Rotarian? If so, please list last club and date in Other field.

Other:

Clear selection

Type of membership *

Personal

Corporate - primary

Corporate - additional

Submit

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