Application for Membership

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Rotaract Club of Annapolis

First Name
*

Last Name
*

Phone Number *

Email Address *

Address

Birth Date *

Job Position *

City/State *

(city/state)

Hobbies *

What Rotaract events have you attended? *

Do you have any other commitments?
*

What about our club interests you the most? *

(select as many as you like)

Volunteering/Community Service

International Service

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

Bring cash/check to the next event

Other:

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)

Yes

T-shirt Size

XXL

XXXL

Clear selection

Submit

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