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Glendora Rotary Membership Form
Please complete the application below to be considered for membership. Let us know if you have any questions.
Please note that membership in the Glendora Rotary Club is by invitation only.
* Indicates required question
Name
*
Your answer
Complete Home Address
*
Your answer
Mailing Address if Different
*
Your answer
Email
*
Your answer
Phone number
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Partners Name
Your answer
Business/Employer
Your answer
Business phone number
Your answer
Vocational or Personal background to enhance your activities as a Rotarian?
*
Your answer
Former/Current Rotarian
*
YES
NO
If
YES
, what is your
RI membership ID number
&
name of former/current club
Your answer
Who is the Sponsor recommending you to join Rotary?
*
Your answer
Club Membership Selection
*
Individual Membership
Corporate Membership*
Family Membership*
* Names and Emails of Corporate & Family Members
Your answer
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