Bozeman Rotaract Membership Form

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Email *

I am applying to be a new member of Rotaract.

Yes

Maybe

Clear selection

I have a dual Rotary/Rotaract Membership

Yes

Full Time Rotary Only

Other:

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Name *

Birth Date *

YYYY

Address *

City *

State *

Zip *

Phone Number *

Occupation/Area of Study *

Employer

Share a little about yourself and why you want to join Rotaract

Hobbies and Interests

Do you have any local non-profit organizations you are involved in or would like to learn more about?

What days typically work for you to attend events?

Sundays

Monday Evenings

Tuesday Evenings

Wednesday Evenings

Thursday Evenings

Friday Evenings

Saturdays

How did you hear about Rotaract?

Areas of Interest *

Community Service

Professional Development

Social Events

Other:

Required

T-shirt Size

XXL

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Instagram Username/Handle:

Facebook Username:

Payment

I have payed my $50 dues via one of the methods on http://www.bozemanrotaract.org/membership.html

By Submitting This Form I Agree To The Following

I understand and accept the principles of Rotaract as expressed in its purpose and objectives and
agree to comply with and be bound by the Standard Rotaract Club Constitution, Rotaract Statement
of Policy and bylaws of the club.

Submit

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