Membership Form

Membership Proposal Form

I am proposing ________________________________________ for active membership in the Rotary Club of Lexington.

Home Address

Street Address ZIP / Postal Code

Phone

Business Name

Phone

Business Address

Street Address ZIP / Postal Code

Cell

Nature of Business

Position:

Proprietor

Partner

Corporate Officer

Manager

Community Leader

Other

Please describe:

Title:

How Long Held:

Description of Responsibilities

Birth Date

Previous Membership in Rotary?

Year

Where

Previous Membership in Rotaract?

Year

Where

Civic/Charitable Involvements, including years of service and offices held:

SPONSOR INFORMATION

Name

First Last

Primary Phone

How long have you known the proposed member?

Two Additional References (One must be an active member of the Rotary Club of Lexington)

Name

First Last

Phone

Name

First Last

Phone

FOR MEMBERSHIP COMMITTEE:

Proposal Received

Dancing with the Lexington Stars

Get Involved

Membership Proposal Form

SPONSOR INFORMATION

FOR MEMBERSHIP COMMITTEE:

Where neighbors, friends, and problem-solvers share ideas,
join leaders, and take action to create lasting change!

Rotary Club of Lexington Kentucky

Events Calendar

Guest Speakers

Weekly Luncheons

Recent News

Dancing with the Lexington Stars

Get Involved

Rotary Club of Lexington

Rotary International

Club Leadership

Rotary Areas of Focus

Membership Form

Membership Proposal Form

SPONSOR INFORMATION

FOR MEMBERSHIP COMMITTEE:

Where neighbors, friends, and problem-solvers share ideas, join leaders, and take action to create lasting change!

Rotary Club of Lexington Kentucky

Where neighbors, friends, and problem-solvers share ideas,
join leaders, and take action to create lasting change!