Application for Membership
Rotaract Club of Annapolis
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First Name *
Last Name *
Main Phone Number *
Additional Phone Number *
E-mail *
Birthday *
Occupation *
Occupation Location *
Rotaract Events Attended *
Hobbies/Interests *
Do you have any other commitments? If so, what are they? *
What about our club interests you the most? *
(select as many as you like)
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:
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)
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