Mayfair Tosa Rotary Application
Rotary International
Name
Date of Birth
MM
/
DD
/
YYYY
Phone Number
Email Address
Home Address
Business/Employer Name
Position Title or Description
Business Address
Business Phone Number
Partner's Name
Children's Names (and ages if under 18)
Proposed Classification
Previous Rotary Club
Some vocational and personal background details that will enhance your activities as a Rotarian
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