Membership Application Form : for an Individual

 
It is fantastic that you are keen to become a member of our Rotary Club .. we welcome you!
Within 48 hours of your application, we will be in touch with you to guide you through the next steps ... have a chat ... get to know one another.

Just so that you are aware - each member of Rotary does pay an annual membership fee which covers a number of costs associated with running the Club and Rotary in general. For our Club, that fee is currently $250 per year. A very key thing covered within this fee is the quite excellent Insurance cover for each member, while they are attending Rotary Projects; Events; Meetings etc.

A once only $50 joining fee is applicable to cover preparing items such as your official Club name badge and official Rotary International pins.

If you have any questions at all, please do not hesitate to call Club Membership Director Bill Marles on 0410 523 106 or email Membership@RotaryAdelaideCentral.org.au
* indicates a required field.
 
Contact Information [ close ]
First Name    
Last Name    
Email    
Email     (for verification)
 
 
Registration information for Once Only Joining Fee
Mr / Mrs / Miss / Ms*   
First Name*   
Middle Name (if applicable)    
Last Name*   
Birth Date     . .
Mobile Phone    
Work Phone    
Home Phone    
Email*   
Email (repeat for verification)*   
Home Address Line 1*   
Home Address Line 2    
Suburb*   
Post Code*   
Main Career Profession (eg. Teacher; Nurse)    
Business / Organization (if applicable)    
Business Address    
If you have a Partner (eg husband / wife),   
what is their name    
Is there a particular reason you have chosen   
to join Rotary?    
Do you have a particular passion you would   
like to explore / be involved in as a member of   
Rotary?    
Have you any past experience with Rotary? eg   
either as a member of a past Club; Rotaractor;   
Study Exchange student or anything similar?    
Have you any other info / requests you would   
like to share with our Club at this time?    
 


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