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Application for Membership in Rotary Club of Wollongong

Title

Firstname

Surname

E-mail Address

Mobile Number

Employer

Current Role

Skillset

Why do want to Join the Rotary Club of Wollongong? (max 250 words)

Please upload a current Biography (pdf only)

Date of Club Meetings already Attended (if any)

Club Member(s) known (if any)

Anti-Spam

By completing and submitting this form:
- You certify that you are qualified for active membership by your current or former status as a business, professional or community leader, with a place of business or residence within the club’s locality or surrounding area;
- You understand that, if accepted for membership, it will be your duty to exemplify the Object of Rotary in all your daily contacts and activities and to abide by the constitutional documents of Rotary International and the club;
- You agree to pay a once-off joining fee of $50 and an annual membership fee of $250 as required by the Rotary Club of Wollongong; and
- You hereby give permission to the club to publish your name and proposed classification, if applicable, to its membership list and for your contact details to be made available to other members.

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