Club Membership Application
Congratulations! You are embarking on an adventure with Rotary International. We are 1.2 million members strong world wide! Thank you for your interest in the Rotary Club of Mt Vernon-Lisbon.
The dues are currently $60 per quarter (Jan, Apr, July, Oct) or $240 annually. If adding a spouse, the amount for both of you is $90 per quarter or $360 annually.
Legal Name (First & Last)
Address (Full mailing address)
Phone Number (mobile)
Alternate Phone Number (work, home, etc)
New Member to Rotary International
Transferring membership from another club
Formerly a member, but not currently with another club
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