Membership Application

Fill out the form below or use the download link to fill out a paper form and email it to contact@southtownerotary.org.

Personal Information

Professional Information

Previous Rotary

Club Interests

Hobbies / Other

I understand it will be my continuing responsibility, if accepted into membership, to exemplify the objectives of Rotary in all my daily contacts and activities, and to abide by the Constitution and By laws of the Eugene Southtowne Rotary Club and Rotary International, the chartering entity for all Rotary Clubs. The club dues are $25 per month, or $150 semi-annually. There are several annual events and activities that are designed to generate financial and other support for our Rotary Club, Rotary International, and/or the Rotary Foundation and their respective compatible missions, which I hope to support. I hereby give permission to the STR to publish my name and my information on the District's Data Base and introduce me on the web via web-mail and website, as this application form was completed by me, and proposed classification to its membership.I hereby certify I am qualified for membership in the Rotary Club of Southtowne by my current and/or former position.

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