New Prospective Member form

Subject: Joining Rotary. The first step.

We are pleased that you would like to learn more about joining Rotary International, the oldest and most prestigious civic organization in the world.
Please complete this short survey about yourself and your geographic area and area of interest so we can connect you to the club(s) that match your needs and interests.  Survey should ask for Full name, Phone #, Email, Address, Your areas of interest? How did you hear about Rotary?
Or, if you prefer, you can simply email our District Membership Chair, Zoot Velasco at zoot@4m-pact.com

Sincerely,
Gilda Riazi Moshir
2025-2026 District Governor
Rotary District 5300