Join friends and help create a lasting change in our community

Membership Interest Form

Interested in speaking with a Melrose Rotarian and learning more about joining? Fill out this form and we'll get back to you ASAP and invite you to an upcoming lunch as our guest!

Please complete the Interest Form Below

Name

First Name

Last Name

Email Address

Phone

(###)

###

####

Preferred Methord of Contact

How should we reach you?

Phone

Either

Interested Membership Level

Please select the membership level that best suites you. If you're not sure, we can discuss your options at a later date.

Full-time Membership

Service Membership

Corporate Membership

Not Sure

Additional Message / Referrals

New Membership Interest Form

Membership Interest Form

Please complete the Interest Form Below