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Click here to download the
Odessa Rotary Club Membership Proposal Form
Click here to
download Rotary Information sheet
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Example of Membership Proposal Form
shown below:

Membership Proposal Form
The Odessa Rotary Club
Rotary International
Print and fill in form
I propose:
_________________________________________________________________________________________
(Name)
_________________________________________________________________________________________
(Business Address)
(Telephone)
__________________________________________________________________________________________
(Residence Address)
(Telephone)
for (check one): □ Active
□ Additional Active □
Honorary
If a former Rotarian list club(s) and dates:
_______________________________
Proposed Classification:
_______________________________________________
Name of firm and executive position (former firm
and position if retired):
___________________________________________________________________
___________________________________________________________________
Activities which would enhance consideration as a
Rotarian: _________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
Proposer's Signature
Date

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