November 27, 2011

Application Form

Want to become a member of SMME? Fill out the application to join today!

(SMME Board members will be notified upon submission of application.  Once reviewed, you will be notified of your acceptance.  You will also be sent an invoice for dues, pro-rated depending on time of application).

Your Name (required)

Preferred E-mail Address (required)

Are you a new or existing SMME member?

Gender
MaleFemale

Preferred Mailing Address

Date of birth

Preferred MaiPhone Number

What is your current occupation?

Please list any past Rotary experience, if any

Why are you interested in joining the South Metro Minneapolis Evenings Rotary Club?

What are your other hobbies, interests, activities?

How did you hear about the South Metro Minneapolis Evenings Rotary Club?

Did someone refer you to the South Metro Minneapolis Evenings Rotary Club?

If you were referred, please type the member’s name.

By checking the following box, you are agreeing to become a member of the South Metro Evenings Rotary Club.
Yes, Sign me up!