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Application for Membership
Rotaract Club of Annapolis
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* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Phone Number
*
Your answer
Email Address
*
Your answer
Address
Your answer
Birth Date
*
Your answer
Job Position
*
Your answer
City/State
*
(city/state)
Your answer
Hobbies
*
Your answer
What Rotaract events have you attended?
*
Your answer
Do you have any other commitments?
*
Your answer
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
Online via PayPal:
http://bit.ly/1eABug7
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
No
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