Membership Proposal/Application Form - The Rotary Club of Karen

The Rotary Club of Karen meets every Wednesday between 6.30 pm and 7.00 pm at Karen Country Club. Each meeting ends promptly at 8.00pm. The Current President is Rotarian. Anne Mbogori 2020/2021

Please fill in all the fields below.

First Name, Middle Name, Last Name*
Profession*
Firm Name*
Nature of Business*
Physical Address*
City*
Phone Number*
Email Address*
Date of Birth*
Date of Birth
Marital Status
If a former Rotarian, list club(s) and dates
* If retired, employer/profession and executive position at a time of retirement*
Activities which would enhance consideration as a Rotarian
List topics which you feel comfortable giving a 15 min presentation
Proposer's Name
Proposer's signature
Date
Attach copy of recent resume*
Attach copy of recent resume
Attach photograph
Attach photograph
Attach copy of Mpesa payment or cheque*
Attach copy of Mpesa payment or cheque
I agree
- I agree
I agree

Statement to be signed by proposed new member:

I hereby certify that I am qualified for membership both by my current/former executive positions and by having a place of business or residence within the club’s territorial limits. If admitted to the club membership, I agree to conform to the Constitution and Bylaws of the Rotary Club of Karen. I can and will attend weekly meetings regularly, participate in Club activities including Service Projects and will pay all Rotary dues promptly.

Financial Obligations: One time initiation fee of Kshs. 5000 to cover administration costs.

Annual dues: Kshs. 20,000 payable in July every year (due to effects of covid-19, dues for year 2020/2021 have been discounted to Kshs. 15,000).

Please submit a copy of payment by Mpesa (paybill 723653) or your cheque for Kshs. 20,000 made out in favour of Rotary Club of Karen. In the event of an unsuccessful application you will receive a refund in full.