Membership/Renewal Application

To join Isfr you can do one of two things:

  Fill out the following form, print the form, and mail/fax as listed below.
                  - OR -
  Print the following form, fill out the form, and mail/fax as listed below.

Join    Renew
   
Last Name: 
First Name: 
Middle Initial: 
Badge Name: 
     
Street Address and Number: 
City: 
State/Province: 
Zip Code/City Code: 
Country:
 
Home Phone: 
Business Phone: 
Fax: 
   
Rotary Club: 
District: 
Classification: 
 
Email: 
 
Spouse Name: 
Is he/she a Rotarian?  Yes    No
If so, Classification: 
 
Credit Card Type: 
Credit Card Number: 
Exp. Date: 

Exact Name as listed on Card:

If billing address if different from above
please enter it here:

 


            Yes    No

 

How did you first hear about ISFR?

If You agree to have your Credit card charged at your subsequent annual membership renewal anniversary date, please check the adjacent box. This annual automatic renewal charge service can be canceled at any time by notifying the Executive Secretary.

Signature________________________

New or returning members please enclose a check for $50.00 first year dues in USD., or equivalent funds, MC, or VISA.
Annual renewal fee if there has been no break in membership is $35 per year.

For additional information or to join, mail or fax to:
ISFR
P.O. Box 151711
Arlington, TX 76015

FAX: (817) 473-6705
E-mail: Click on mailbox below or
send to - isfrsec@isfrski.org


      EMAIL
Copyright ISFR © 2007 all rights reserved.