ROTARY MEMBERSHIP APPLICATION WELCOME TO THE ROTARY CLUB OF HAMILTON MEMBERSHIP APPLICATION FORM. PLEASE FILL IN ALL FIELDS AND SUBMIT. WE WILL REVIEW AND CONFIRM A DATE AND TIME TO DISCUSS HAVING YOU JOIN OUR ROTARY CLUB WITH IN A WEEK. MEMBERSHIP APPLICATION MEMBERSHIP APPLICATION FULL NAME * Date applying Address Address Address Address City City State/Province State/Province Zip/Postal Zip/Postal Phone Email Date of Birth Spouse / Partner BUSINESS INFORMATION COMPANY NAME Position Address Address Address Address City City State/Province State/Province Zip/Postal Zip/Postal Phone Email About You Have you been a member of Rotary before? Yes No If yes, please provide your club, dates and position you held: Type of membership: Please select one Active Membership – Rotarian Multi-Member (Corporate member) Friend of Rotary Reason for wanting to join Rotary Please list community activities in which you have been involved: Signature Sponsoring Rotarian Type of membership: Please select one Active Membership – Rotarian Multi-Member (Corporate member) Friend of Rotary I am submitting this application to be an active, involved and engaged Rotarian in the Rotary Club of Hamilton Clear Date reCAPTCHA If you are human, leave this field blank. Submit
