Application for Membership
Rotaract Club of Annapolis
First Name *
Your answer
Last Name *
Your answer
Main Phone Number *
Your answer
Additional Phone Number *
Your answer
E-mail *
Your answer
Address
Your answer
Birthday *
Your answer
Occupation *
Your answer
Occupation Location *
(city/state)
Your answer
Rotaract Events Attended *
Your answer
Hobbies/Interests *
Your answer
Do you have any other commitments? If so, what are they? *
Your answer
What about our club interests you the most? *
(select as many as you like)
Required
How would you prefer to submit your $20 application fee? *
(if you choose PayPal, select "My Payment is for Friends/Family" and copy this email address for the recipient: annapolis.rotaract@gmail.com
Rotaract encourages at least 50% attendance for all official club activities. Will your schedule allow this? *
(Official activities include: 2nd Tuesday Meetings, Semi-annual Fundraisers, Community Service activities, Monthly Fellowship Events)
T-shirt Size
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