Member Information Update
This form is for changes to Stockton Rotary information only.
Name:

 		*rqd
  First name:    
  Last name:
Badge Number?
 *rqd
Rotary Badge Number:
 
Enter Changes Only
Home Addr:
City:
State:
 		   Zip:  
Home Email:
Home Phone:
 Home Phone:
(format: 209-987-6543, please don't forget your area code.)
Enter Changes Only
Business Name:
Business Address:
Business City:
Business State:
     Business Zip:
Business Email:
Business Telephone:
 Business Phone:
(format: 209-987-6543, please don't forget your area code.)
Position or Title:

Spouse's Name

Which address to use for Rotary billing:Home   or  Business

Which email address to use for Rotary email: Home   or  Business

Comments.  Anything else you would like us to know?



Please click once and allow up to 45 seconds for our computers to respond once you submit this application.

 Questions?  secretary@stocktonrotary.org