0 Membership Application Please enable JavaScript in your browser to complete this form.Name *FirstLastEmail *Name of Spouse / PartnerFirstLastBusiness / Employer NamePosition Title or DescriptionBackgroundPlease provide some vocational and personal background detailed that will enhance your activities as a RotarianProposed ClassificationThis will be printed on your Rotary name badgeRequested Membership TypeIndividualCorporateIf not sure, choose "individual"Previous Rotary Club MembershipsPlease indicate locations and years of membershipPlease enter your full nameCommentSubmit