Annual membership

Pronouns * he/him she/her they/them ze/zim No pronoun preference Other Find out more about pronouns and why they are important: https://www.minus18.org.au/articles/what-are-pronouns-and-why-are-they-important

Gender identity * Male/Man Female/Woman TransMale/TransMan TransFemale/TransWoman Non binary/Genderqueer Intersex/indeterminate Something else Prefer not to say

Sexual orientation * Lesbian Gay Bisexual Queer Straight Something else Prefer not to say

Rotary Affiliation * Rotarian Rotaractor Spouse of Rotarian Family Member of a Rotarian Rotary Alumni Rotary Program Participant Other

Club / program name *If you are filling this form out as a Spouse or Family Member put the Rotary Club of your Family Member's Club and District. If you are a program participant complete the name of the program.

District number *If you are filling this form out as a Spouse or Family Member put the Rotary District Number of your Family Member's Club and District. If you are a program participant enter the district number who sponsored you.

Rotary International Member ID number (optional)

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