Application for Membership of Rotary Club of Watsonville

Select Membership Type
IndividualCorporate

Name (required)

Home Address (required)

Zip code (required)

Home Telephone

Cell Phone (required)

Business/Employer Name

Position Title or Description

Business Address

Zipcode

Business Telephone

Fax

Email (required)

Date of Birth mm/dd/yyyy (required)

Partner's/Spouse's Name

Children’s Names (and their ages if under 18)

Proposed Classification

Previous Rotary Club

Some vocational and personal background details that will enhance your activities as a Rotarian

I hereby certify that if accepted to Membership of the Rotary Club of Watsonville, that I as a Rotarian, will exemplify the Object of Rotary in all my daily contacts and will abide by the constitutional documents of Rotary International and the club. I agree to pay an admission fee and dues in accordance with the bylaws of the club

Were you encouraged by someone to join the club, if so what is their name