Prospective Member Application Form

Thank you for your interest in exploring the potential to become a Rotarian. Membership is extremely important to us, and we are always eager to hear from individuals interested in our mission and joining our Rotary club to enhance our philanthropic goals.

The Club's membership constitutes an cross-section of the business and professional community within the Lake Norman-Huntersville area. Membership in a Rotary club typically requires a prospective Club member to attend several Club meetings so that the existing Club membership can get to know you. We are also very interested in learning more about you and what you have to offer to our Club.

Please provide us with your name and contact information. Our Membership Director will then review this information and then be in contact with you.  To speak to a Rotary representative by phone, please call: 
704-896-2287

Information for Prospective Members may be found at the Rotary International web site.

 
* First Name
* Last Name
Middle Name or Initial
Address
City
State
Zip
* Email
Cell Phone
Home Phone
Work Phone
Employer Name
Employment Address
Employment City
Employment State
Employment Zip
* Best time to reach you (check all that apply)
 Morning
 Afternoon
 Evening
 Weekdays
 Weekends
Tell us a little bit about yourself
How Did You Hear About Rotary?
How did you hear about our Rotary Club's Website?
Any other comments?
Request
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© Copyright 2010 Rotary Club of Lake Norman-Huntersville . All Rights Reserved.