Membership Application

Thank you for interest in becoming a Sunrise Rotary Club member.  Please complete the following application and return it to:
Candy Sarauer, Membership Chair, csarauer@regalware.com

Personal Information

Name:
Address: 
Telephone:
Cell: 
Spouse’s Name:

Employment

Employer: 
Title (if applicable): 
Business Address: 
Business Telephone: 
Classification (e.g. teacher, engineer, sales):

Special Interests

Hobbies or Fun Activities:
Former Rotarian?  If so, where:
Birthday:
 

Sponsors

Interested in being a sponsor?
Download the website sponsorship guide