Membership Referral

This online application is for the purposes of referring a new member to the Mount Pleasant Rotary Club only.

Before filling out the form below, please review our club's Steps for Proposing New Members to familiarize yourself and the candidate with our proposal process.

Your Name (Current Member) *
Your Name (Current Member)
Proposed Member's Name *
Proposed Member's Name
Select one of the listed classifications or select Other.
If you chose Other in the Proposed Member's Classification, please provide the suggested classification here.
Preferred Member's Phone
Preferred Member's Phone