Request edit access
Rotary e-Club of Houston - Membership Form
Former or current Rotarians must be in good financial standing with their former or current club to be accepted in membership. Current Rotarians requesting consideration for membership in the e-Club must notify their club secretary of their intentions to join.
Email address
Name
First and last name
Your answer
Gender
Date of Birth
MM
/
DD
/
YYYY
Home Phone number:
Your answer
Home Address
Your answer
Professional Position:
Your answer
Business/Company Name
Your answer
Work Address
Your answer
Work Phone
Your answer
Cell phone
Your answer
Preferred communication
Classification for Rotary Membership
Your answer
Please complete this portion if you are a current or former Rotarian
If previously a member of Rotary International, please add your Membership # (on cover of The Rotarian magazine)
Your answer
Club Name & Year inducted:
Your answer
When Terminated:
Your answer
Positions held at club level:
Your answer
Position held at District level:
Your answer
Tell Us About You!
What are your favorite spare time activities/hobbies?
Your answer
I am interested in Rotary International membership because...
Your answer
Do you have expertise that you would like to share? Here are some examples:
Required
Membership Qualification Requirements
1. Attend two Weekly Programs, which may be the newsletter/website or online meeting of Rotary e-Club of Houston.
2. Submit the online attendance form by clicking on the Attendance Form tab.
3. Pay the one-time registration fee of $50 plus the $150 for a full year membership. Club dues of $150 are collected by June 15th every year and are prorated based on the portion of the year you are joining.
4. You may use the PayPal link to pay your membership dues with a credit card. The link is posted on the left side of our webpage as a yellow PayNow button. If you choose to send us a check, please make it payable to Rotary e-Club of Houston and mail it to our club treasurer Michael Miller at 11 Beebrush Place, The Woodlands, TX, 77389.
5. Please send the completed application form to membership chair Barbara Conway at barbaratconway@gmail.com or by mail to the address above if you are sending a check.
6. Attend a minimum of 30 minutes of all weekly programs. Rotary International requires that members have a monthly attendance of at least 50% to be considered active members. You can do this anytime, anywhere in the world with Internet.
7. After you become a member, please go to www.rotary.org and create an account in My Rotary. It’s very easy, and you will have access to great information to help you become involved and knowledgeable about Rotary.
Please check the box below if you agree with the terms described on this membership application form.
Required
ONLINE MEMBERSHIP PAYMENT LINK
Please use our PayPal online payment link for faster membership application process: https://www.paypal.com/webapps/shoppingcart?flowlogging_id=f007dd3c26d2&mfid=1488215022254_f007dd3c26d2#/checkout/openButton
Welcome to Rotary E-Club of Houston!!!
Referrals from other Rotarians are welcome but not required. Rotarians are people of good moral and professional reputation, and are expected to abide by our honor system, the Four Way Test. All Rotarians are expected to pay membership dues * on time, to complete a weekly attendance form, and follow all Rotary requirements. Most of all, we hope you will have fun serving your community and the world through Rotary. Welcome to the Houston eClub!

*Membership dues cover our District and Rotary International expenses, Rotary programs worldwide and a subscription to The Rotarian magazine.

A copy of your responses will be emailed to the address you provided.
Please complete the captcha before submitting the form.
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms