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Sunrise Rotary Membership Application
Welcome! We are excited to learn about you as a potential member of Sunrise Rotary. Tell us a little about yourself. This form will be submitted to the Sunrise Rotary Membership Chair, who will contact you to discuss your application
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Name
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Your answer
Email
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Your answer
Birth Date
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DD
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YYYY
Home Phone
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Your answer
Mobile
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Your answer
Home Address
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Your answer
Business / Employer Name
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Your answer
Position / Title / Description
Your answer
Business Address
Your answer
Business Phone
Your answer
Spouse or Significant Other Name
Your answer
Children Name(s) and Ages
Your answer
Personal interests, hobbies, professional/charitable activities and community involvement:
Your answer
Why do you want to join Rotary?
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Your answer
How did you hear about Sunrise Rotary?
Your answer
List your Rotary sponsor, if you have one.
Your answer
Have you previously been a member of Rotary?
Yes
No
Clear selection
Which committee(s) would you be interested in learning more about? Please select all that interest you.
Communications / Public Relations - Weekly newsletter and social media
Community Service - Volunteer opportunities within the community
Fundraising - Make-A-Wish Golf committee, Fall Fundraiser - Sponsors, Prizes, Sales, Logistics
Grants - Reviewing grant applications and distributing grant funds
International - Youth Exchange and other international projects
Membership - Member engagement, Attendance and Visitors, New Member Orientation
Social - Coordinating social events for members and their families
Other:
The Four-Way Test is a nonpartisan and nonsectarian ethical guide for Rotarians to use for their personal and professional relationships. As a member I commit to the best of my abilities to:
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I agree
Required
I agree to pay a one-time admission fee of $50, annual dues of either: $800 (with breakfast) or $400 (without breakfast) in accordance with the bylaws of the club. I hereby give permission to the club to publish my name and proposed classification to its members. *
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Yes
No
Type of membership requested?
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Full Membership (with breakfast) - $800
Basic Membership (without breakfast) - $400
Required
Membership Due Payment Schedule
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Annual Payment
Quarterly Payments
Monthly Payments
Required
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