Applying information technology to enhance Rotary service, fellowship, and knowledge.

ROTI Membership Application

Rotarians on the Internet is a recognized fellowship of Rotary International and invites all Rotarians, their spouses and Rotaractors to join our free fellowship.

There are only three requirements for membership:

1. Complete the application form below
2. Agree to receive the monthly newsletter (This provides us an indication that you are still active)
3. Support the mission of ROTI which is "to apply modern information technology to explore the avenues of service and fellowship with Rotarians all over the world"

Please note: The information provided on this form is secure, and will not be shared outside of our Fellowship. The email address that you provide must be a current address and must be the same as will be used on our mailing lists. Your email address is the only unique field that we can use for membership qualification. Your member information will be emailed to that address. If you do not receive a Welcome email within a few days, please email us at membership@roti.org. Addresses that consistently bounce will be removed from our list.

We maintain several different listservers, so you can have the communication experience that is appropriate for your needs. Please check the list(s) below in which you would like to participate. We welcome you to select as many lists as you would like. Remember you must use the same email address to subscribe to these lists that is on file in our database.

Now, please complete the application form and press "SUBMIT" below when done!

ROTI Application Form

* Denotes required fields.

(Note: Do NOT use the "Enter" key to move to the next field - use either the "Tab" key or your mouse)

Password (will be assigned)	53424	This will be sent to you as a random number. After you sign up, you will be able to change it to what you want.
*Username		Choose a name you can remember!
Title	Select Mr. Mrs. Ms. Miss Dr.
*First Name
Nickname
*Last Name
Position:	Select Rotarian Spouse of Rorarian Rotaract President Past President President Elect District Governor Past District Governor District Governor Nominee Assistant District Governor District Internet Communication Office World President Past World President World President Nominee International Director Other International Officers	Your membership type or club / district / international office
*Club Name		Do not include 'Rotary Club'
*District Number
Club web URL		Include the entire URL as in http://www.yourclub.org
District web URL		Include the entire URL as in http://www.yourdistrict.org
Address
City
State
Postal/Zip
*Country	Select Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bolivia Bosnia-Hercegovina Botswana Brazil Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Channel Islands Chile People's Republic of China Colombia Comoros Islands Congo Cook Islands Costa Rica Cote d'Ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Estonia Ethiopia Faroe Islands Fiji Finland France French Guiana Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Eritrea Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Korea Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Liechtenstein Lithuania Luxembourg Macau Madagascar Malawi Malaysia Mali Malta Mauritania Mauritius Mexico Micronesia Moldova Monaco Mongolia Montserrat Morocco Mozambique Namibia Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Puerto Rico Romania Russia, Eastern Rwanda Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Seychelles Sierra Leone Singapore Slovenia Solomon Islands South Africa Spain Sri Lanka Sudan Suriname Swaziland Sweden Switzerland Taiwan Tajikistan Tanzania Thailand Togo Tonga Trinidad and Tobago Tunisia Turkey Turks and Caicos Islands Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Vanuatu Venezuela Virgin Islands (British) Virgin Islands (US) Zaire Zambia Zimbabwe Macedonia Aland Islands French Polynesia French West Indies Isle of Man Kosovo Mayotte Montenegro Northern Ireland Reunion Russia, Western Scotland Serbia St. Kitts-Nevis St. Lucia St. Pierre & Miquelon St. Vincent & the Grenadines Timor-Leste Wales
Phone
Fax
Email Consent
*Email
ICQ
PHF	Yes No
MPHF	Yes No
Benefactor	Yes No
Bequest Society	Yes No
Partner's Name
Partner Rotarian?	Yes No
*Classification
Hobbies
Date Joined ROTI
*Previous ROTI Member?	Select Yes No	If you have been a member of ROTI in the past and would like to renew your membership, choose Yes
Your Birthday	Month: Day: Year:
Partner's Birthday	Month: Day: Year:
Wedding Anniversary	Month: Day: Year:
	The following applies to new members only.	Please select which listserve(s) you would like join. You must choose at least one list.
ROTI General	Yes No	Any topic is allowed with some oversight by the ROTI Sergeant at Arms. There are usually 30 to 50 messages per day and can be significantly more when hot discussions are going.
ROTI Serious	Yes No	This is a moderated list and only serious topics about Rotary are allowed. The list volume is usually four or five messages a day.
ROTI Tech	Yes No	The ROTI Technical list that addresses web, computer, virus, and spam questions. Think of this list as an in-house IT help desk. This list receives two or three messages a day on average.
Picture File	You will have an option to upload your picture after you join, by logging into the member database.