Membership Application
Garden State Rotary Club

Meetings are every Friday at 12:15 PM at Ponzio's Restaurant, Rt. 70 & Kings Highway, Cherry Hill

Find out about Rotary and meet the leading business and professional members of your community that want to "make a difference".

Applicant's Name

I the undersigned, being familiar with the requirements for, and conditions of memberships as explained throughout this website and contained in the constitution and by-laws, hereby make application for:

Active Membership __ Senior Active Membership

Classification
Sponsor
My firm's name
My position Proprietor
Manager
Officer
Executive
My business address
City
State
Zip
Bus. Phone
FAX
My residence address
City
State
Zip
Res. Phone
FAX
Previous Rotary memberships
Date of Birth
Spouse Name
Email Address


__I hereby certify that I am personally and actively engaged in the business or profession or professional activity covered by the classification that has been proposed for me and that my place of business or residence is located within the territorial limits of the club or within the corporate limits of the city in which the club is located or within an immediately adjoining territory.
__I understand that it will be my duty, if elected, to exemplify the Object of Rotary in all my daily contacts and activities, and to abide by the constitution and bylaws of the club. I understand that part of my membership dues will provide me annual subscription to the official magazine or an approved and prescribed regional magazine as may be applicable. I agree to pay the admission fee and the annual dues in accordance with the bylaws of the club. I hereby give permission to the club to publish my name and proposed classification to its members.



 

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