ROTEX E-Rotary Club

Interest Survey

Yes

Not Sure

2 times a month

1 time a month

Meet in person in my country with other ROTEX quarterly

Not sure

President

Secretary

Membership

Program Coordinators

Rotary Foundation

Treasurer

Other Role

$50.00 twice a year

$100.00 twice a year

Not sure how much I can afford

Name

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number