Oshkosh Rotary Club * Club Number 2752 * Chartered March 1, 1917

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Membership Form

Applicant's Name:
Your Firm's Name:
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Birthday:
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I am familiar with the requirements for and conditions of membership, and I hereby make application for (click one):

 

 


Active Member
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Classification:
(Vocation/Type of work)
I am personally and and actively engaged in the business or profession or professional activity covered by this classification and have my place of business or residence located within the territorial limits of the club or within the corporate limits of the city in which the club is located or within the territorial limits of an immediately adjoining club. If proposed for past service or senior active member, the abo e is the classification previously held.
Date of Application:

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  Oshkosh Rotary Club, PO Box 785, Oshkosh, WI 54903-0785