Membership Application

Indentification

Date *
Name *
Nick Name
Date of birth *
Spouse

Personal Contact

Address
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
Home Phone
Mobile Phone
Email *

Business Contact

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Title / Classification
Business Address
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Business Phone

Previous Rotary Affiliation

Rotary Club
Rotaract Club
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RYLA
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Verification

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Have you determined that the Hillsboro Rotary Club is the perfect fit for you? If you answered yes, working with your sponsor, fill out the application below.

Download Membership Application Form and return to membership@hillsbororotary.org