New Member Nomination Form This form can be downloaded as a PDF. However we prefer that you submit it electronically below Proposed Member Nomination InformationNominee InformationFirst Name Last Name Street AddressAddress Line 1 Address Line 2 City Retired? YesNoPhone Number Email Years in Bend Moved from? Work in Bend? YesNoRetiredType of Business Name of company or organization Position Held Current or former Rotarian YesNoCurrent or Former Club Name and Location How 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 nomination Sponsor's Name Email Date When submitted this form will be forwarded to New Member Committee and Sponsor. Some description about this sectionSubmit Form
