New Member Application
Rotary of Toms River
New Membership Application Form
Copy / paste this form into an email, fill it out and send it to:
or simply print the page and bring it to a meeting
Request / Proposal for Membership:
Type:         ___ Individual        ___ Corporate       ___ Family
Primary Member Name: _____________________________________________________
Nick Name: __________________________________________________________________
Home Address:_______________________________________________________________
State:_____________________  Zip Code___________________
Home Phone: __________________________________________
Cell Phone:____________________________________________
Email: ______________________________________________________________________

Spouse / Partners Name:____________________________________________________
Business / Occupation: _____________________________________________________
Previous Rotary Member?    Y___  N___   Name of Club  _ _____________________
Community Service Interests: _______________________________________________
Personal Hobbies, Interests: ________________________________________________
Additional Corporate / Family Members (if applicable):
I understand that if I am accepted as a member of the Rotary of Toms River I will strive to support the Mission of Rotary,
agree to actively participate as often as possible and to pay all required membership fees and dinner costs.
Signature or Name of Applicant: ____________________________________________________________  Date:_____________
Member Proposed / Sponsored By:_____________________________________ (if applicable)   

Our Mission

The Mission of Rotary of Toms River is to better the community we live in through charitable giving, volunteering, crisis response, and creating a positive, lasting change through our endeavors. 

To accomplish this Mission we provide service to others, promote business integrity, advance world understanding, foster community goodwill, and promote peace through our fellowship of business, professional, and community leaders.