New Member Application

Contact Information

 

Activities and Interests

 

Certification

  • I hereby certify that if accepted to Membership of the Rotary Club of Stockton, I as a Rotarian, will exemplify the Object of Rotary in all my daily contacts. I will abide by the constitutional documents of Rotary International and the Club. I agree to pay an initiation fee and dues in accordance with the bylaws of the club. This is also my authorization to publish my name in "The Wheel", the Rotary Club of Stockton's weekly publication.
  • Orientation date: _________________ Intro to club on: _______________ R.I. notified on: _______________ District notified on: _______________
    Status: Active _____ Honorary _____ Occupation Code# _______________ Badge# __________
    Classification ______________________________ RI Member Number __________
 

Verification