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Membership Application

Please complete this application to be considered for Rotary Club of Wichita. 

In addition, two current Rotarians must complete the sponsor form.

"*" indicates required fields

Step 1 of 4

Full Name*
Select date MM slash DD slash YYYY
Drop files here or
Accepted file types: pdf, doc, docx, Max. file size: 228 MB.
    Accepted file types: jpg, jpeg, Max. file size: 228 MB.

    Social Media

    Please provide us with your personal social media handle/address (if applicable):

    Business

    0 of 800 max characters