LOCKPORT ROTARY CLUB
BUSINESS APPLICATION AND
CONTACT INFORMATION
We apply for business membership in the Rotary Club of Lockport and authorize our consideration by the Board of Directors. If approved, we authorize publication of our organization’s name and representing officers and classification in the Lockport Rotary Club’s newsletter for consideration by the club membership.
Company or Firm Name: ______
Business Address: ______
______
City/State/Zip: ______
Website Address: ______
Business Designee One
Name: ______
Nickname: ______
Title: ______
Spouse/Partner Name: ______
Business Phone: ______Fax: ______
Preferred E-mail: ______
Home Address: ______
Home City/State/Zip: ______
Home/Cell Phone: ______
Birthday:______
MEMBER OF PREVIOUS ______
ROTARY CLUBS? ______
(include dates) ______
RI Membership # ______
Business Designee Two
Name: ______
Nickname: ______
Title: ______
Spouse/Partner Name: ______
Business Phone: ______Fax: ______
Preferred E-mail: ______
Home Address: ______
Home City/State/Zip: ______
Home/Cell Phone: ______
Birthday:______
MEMBER OF PREVIOUS ______
ROTARY CLUBS? ______
(include dates) ______
RI Membership # ______
Business and Family Member Guidelines
A Business or Family Member Category will have a positive impact on membership by increasing the Rotary Club of Lockport’s ability to attract and retain a qualified and diverse base within the community. The category is designed to improve recruitment and retention, allow for flexibility in club operations and structures, and provide the Rotary Club of Lockport with an opportunity to explore new and innovative ways to promote member diversity - all goals of the RI Strategic Plan. Other potential benefits include improved leadership, engagement, and participation among members and increased support of The Rotary Foundation.
A Business/Family Member Category allows a family, business or organization in the greater Lockport area to become a member of the Lockport Rotary Club, after review and approval by the Club membership. The family, business or organization will appoint two designees as the individuals who attend club meetings, participate in projects, vote on club matters, serve as club officers and serve on club committees.
Criteria for Business/Family Member Category:
· Business/Family Members must meet the same standards/criteria as individual members.
· Both representatives will be required to go through the eight-step initiation process.
· Annual dues for the Business/Family Member Category will be $250 (up to two participants) per business/family annually; $125 per each additional person.
· A $60 per person annual donation to the Rotary Foundation.
· Members will receive a single subscription of The Rotarian per Business/Family.
· Members will be considered the equivalent of one business/family member for purposes of fundraising, service and club attendance.
I acknowledge that my Sponsor has discussed with me the expected duties and responsibilities of being a Business Member of the Lockport Rotary Club. I understand that my name is being proposed for membership by a current member of the Club and will be considered by the full Membership. If my membership is approved by the Club, I agree to become a Member and abide by the Constitution of Rotary International and our local by-laws. I agree to abide by the requirements of membership and to pay the annual dues promptly.
______
Proposed Designee One Signature
______
Proposed Designee Two Signature
TO BE COMPLETED BY SPONSOR:
Proposed Business Member Name: ______
Sponsor’s Name ______
I hereby propose said individual for Membership in the Rotary Club of Lockport. I have discussed the duties and responsibilities of membership with them. I will provide the Club’s Secretary with the Application and hereby request that the full Membership consider said proposal.
______
Sponsor’s Signature
TO BE COMPLETED BY CLUB SECRETARY:
Date:
Application Received: ______
Proposed Classification: ______
Active or Honorary Membership? ______
Copy Submitted to Membership Chair: ______
Approved for Membership: ______
Badge Ordered: ______
Inducted: ______
Submitted To Rotary International: ______
RI Membership Number Assigned #______
Form Distributed to:
President ______
President-elect ______
Treasurer ______
Assistant Treasurer ______
Spokes Distribution Chair ______
Roster/Directory Chair ______
Website Chair ______
Orientation Chair ______
Assistant to Secretary ______
Eight Step Initiation Completed: ______