New Member Nomination Form This form can be downloaded as a PDF. However we prefer that you submit it electronically below Nomination Form - New Member Proposed Member Nomination InformationNominee InformationFirst NameLast NameStreet AddressAddress Line 1Address Line 2CityRetired?YesNoPhone NumberEmailYears in BendMoved from?Work in Bend?YesNoRetiredType of BusinessName of company or organizationPosition HeldCurrent or former RotarianYesNoCurrent or Former Club Name and LocationHow does sponsor know candidate#1 Personal /Professional reference and Ph# #2 Personal /Professional reference and Ph# Describe candidates civic involvement List other Rotarians who have met and endorsed nominationSponsor's NameEmailDateWhen submitted this form will be forwarded to New Member Committee and Sponsor. Some description about this sectionSubmit Form
