New Member Application
Rotary of Toms River
New Membership Application Form
Copy / paste this form to word or any word processing application you use,
then print the page and bring it to a meeting for submission.
Request / Proposal for Membership:
Type: ___ Individual ___ Corporate ___ Family
Primary Member Name: _____________________________________________________
Nick Name: __________________________________________________________________
Home Address:_______________________________________________________________
State:_____________________ Zip Code___________________
Home Phone: __________________________________________
Cell Phone:____________________________________________
Email: ______________________________________________________________________
Spouse / Partners Name:____________________________________________________
Business / Occupation: _____________________________________________________
Previous Rotary Member? Y___ N___ Name of Club _ _____________________
Community Service Interests: _______________________________________________
Personal Hobbies, Interests: ________________________________________________
Additional Corporate / Family Members (if applicable):
_____________________________________________________________________________
I understand that if I am accepted as a member of the Rotary of Toms River I will strive to support the Mission of Rotary,
agree to actively participate as often as possible and to pay all required membership fees and dinner costs.
Signature or Name of Applicant: ____________________________________________________________ Date:_____________
Member Proposed / Sponsored By:_____________________________________ (if applicable)
Our Mission
The Mission of Rotary of Toms River is to better the community we live in through charitable giving, volunteering, crisis response, and creating a positive, lasting change through our endeavors.
To accomplish this Mission we provide service to others, promote business integrity, advance world understanding, foster community goodwill, and promote peace through our fellowship of business, professional, and community leaders.
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