Rotary Club of Dolores - New Member Application Form
Interested in becoming a Rotary Member? You are welcome to attend a couple meetings to see if this is a good calling for you. Bring a dollar to put in the Question of the Day jar, bring funds to pay for your breakfast, then get to know us while we tackle ways to build community, help out local businesses, and coordinate youth and fundraising projects.

Yearly membership is $150, and can be paid in two $75 6-month increments, or all at once. You can fill out this online application form, download the .pdf form on our website, or come to a meeting for a paper copy. We'd love to have your ideas and your company at 6:30am on Tuesday mornings in the back room of the Ponderosa, 715 Railroad Avenue.

Title
First and Last Name *
Your answer
Physical Address (street/city/state/zip) *
Your answer
Mailing Address (street/city/state/zip) *
Your answer
Phone Number *
Your answer
Type *
Alternate Phone
Your answer
Type
Email *
Your answer
Spouse's Name (if applicable)
Your answer
Occupation
Your answer
Your birthdate *
MM
/
DD
/
YYYY
Are you transferring from another Rotary Club? *
If yes, list Rotary Club and their City/State/Country
Your answer
How did you hear about us? (if it was through another Rotarian, please list their name)
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service