Expression of Interest in Joining the Rotary Club of Sunbury

Please note that all fields must completed unless designated optional

If retired please put the word Retired plus your former occupation in the occupation field

";>

Your First Name:
Your Last Name:
Your Age in Years (Optional):
Contact Number:
Address (Optional):
Suburb (Optional):
Postcode:
Email Address:
Business/Occupation:
Choose Membership Type:	Full Membership
	Friend of Rotary

A fifty word description of your interests and your intersts in Rotary. If you have been or still are a member of another Rotary Club or some other Service Club please include details.

Description of your interests:
Additional Comment (Optional):

Pardon our security measures. Please perform the following operation		+		=

Use the Submit to Summarize button for a summary and review the supplied information. In the Summary page you can return to this form and revise.

Rotary Club of Sunbury respects privacy and is collecting this information with respect to your interest in our club only. The information will be used for administration purposes and to contact to discuss your interest in our club. The information will not be disclosed to any other party other than required by law.

For more information or queries please:  Contact Us