Membership Transfer Application

If you are currently a Rotarian wishing to transfer your membership to the Rotary club of San Antonio, please complete and submit this form. A member of the Rotary Admissions Committee will contact you. If you have any question, call 210-222-8242 X 12.

First Name

Last Name

Badge Name

Date of Birth

Company Name

Position

Classification

Business Address

(Include City, State Zip)

Home Address

(Include City, State Zip)

Office Phone Number

(XXX) XXX-XXXX

Home Phone Number

(XXX) XXX-XXXX

Cell Phone Number

(XXX) XXX-XXXX

Business Email

Personal Email

Preferred Email

Business

Home

I am currently a member of the Rotary Club of:

Current Club Secretary

Club Secretary Email

Club Secretary Phone

RI Number

Membership Dates

Are you a Paul Harris Fellow?

Yes

APPLICATION COMPLETION / SUBMISSION

All transferring Rotarians are required to provide a Certificate of Good Standing prior to joining a new club. We will contact your current club and ask them to complete the necessary paperwork.

FINANCIAL OBLIGATIONS

Rotary Fiscal Year: July 1 – June 31 (Fees will be prorated based on when membership begins.) Fees (annually): $1,350 which include meals. Members over 65 and on waiver attendance (age + years of service = 85) pay a discounted amount of $750.

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