Now that you are ready to become a member, click on "read more" below to see our membership application.  You can copy and paste it into a document file and then print and fill out.  Return to a Board member or email to our "contact us" email.  You can also ask any Board Member for a Membership Application.
 
                                          Membership Application Form
                                    Rotary Club of Albuquerque Sandia
 
Name:  ________________________________________________________________
Home Address:  _________________________________________________________
Cell Number:  _____________________     Home Phone:  _______________________
Email:  ___________________________    Date of Birth:  _______________________
Spouse/Partner Name:  ____________________________________________________
Children’s Names (and ages if under 18): _____________________________________
______________________________________________________________________
Previous Rotary Club:  ____________________________________________________
Business/ Employer Name:  ________________________________________________
Position Title or Description:  ______________________________________________
Business address:  _______________________________________________________
Business Phone:  ___________________
Proposed Classification:  _________________________________________________
 
Please share some brief biographical and career details:  _________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
 
I hereby certify that if accepted to Membership of the Rotary Club of Albuquerque
Sandia, that I as a Rotarian, will exemplify the standards of Rotary in all my daily
contacts and will abide by the constitutional documents of Rotary International and
this Club.  I agree to pay an admission fee and dues in accordance with the bylaws
of this Club.
 
Signature:  ____________________________________  Date:  ___________________
 
 
Nominated by:  _________________________________________________________
 
Board Approval on:  _____________________________________________________