Rotary Club of Philadelphia Membership Application

To become a member of our Rotary Club, please follow these 3 steps:

STEP 1: Complete and submit the application below.
Note: you are expected to attend at least two club meetings and/or service projects before submitting the Membership Application.

STEP 2: Upon approval by the Membership Committee, your application will be referred to the Board of Directors for final approval.

STEP 3: Once approved, pay your membership dues.
You may pay your dues online via PayPal. When payment for dues is received by the club, you will be scheduled for an Induction Ceremony at a club meeting. Dues are not refundable. Please notify the Club at info@philadelphiarotary.org if you prefer to pay by check, and an invoice will be mailed to you.

Date of application

MM

DD

YYYY

Name of applicant

First Name

Last Name

Occupation

Please list your position / title. If retired, list previous primary occupation.

Company name (if applicable)

Principal type of business (if applicable)

Company address (if applicable)

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Work Phone (if applicable)

(###)

###

####

Email

Home Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Birthdate

MM

DD

YYYY

Affiliations

Please list any civic organizations in which you are currently active, any military service or current veterans’ activities, or any other community involvement.

How did you hear about the Rotary Club of Philadelphia?

Reasons for wanting to join Rotary

Have you ever been a Rotarian?

Yes

No

Are you transferring your membership? (if applicable)

Yes

No

Previous Rotary experience (if applicable)

List last club name, and indicate if you have ever served as Club President (with year)

Applicant Signature

Please type in your full name, which serves as your digital signature and certifies that all information contained in this application is true and accurate. I fully understand the privileges and responsibilities of membership in the Rotary Club of Philadelphia. I agree to give one month's written notice if I decide to terminate my membership.

The Rotary Club of Philadelphia does not discriminate on the basis of race, color, sex, age, religion, national origin, or disability in membership practices, programs or activities. This policy is in accordance with the state and federal laws, Section 504 of the Rehabilitation Act of 1973 and the Americans with Disabilities Act of 1990.

Membership Benefits

First Thursday: Evening Business & Networking Meeting at Pyramid Club with presentations from engaging speakers Third Thursday of the Month: Evening Social, pay-as-you-go
Third Saturday: Service Project followed by Socializing at a nearby restaurant

Membership includes:
Fellowship Events
Service Opportunities
Rotary Club Newsletter
Rotary Magazine
Exclusive Rotary Social and Networking Events
$400 annually | $200 every six months

MEMBERSHIP APPLICATION

Rotary Club of Philadelphia Membership Application

Membership Benefits

The Rotary Club of Philadelphia focuses its outreach on those in need and those less fortunate primarily in its community and also via international activity. Our goal is to be among Greater Philadelphia’s most active humanitarian organizations which improve lives..