Each year, some Clubs do a 'CIC' (Club in a Club) membership plan. This plan consist of submitting names of people who you come across in the course of you social and business life and who, in your opinion, would make great members. No matter where they live or work, no matter whether they have been asked before, no matter whether you think that they are too busy (let them be the judge of that!), you simply submit their details below and these details will be used in the membership program, but of course their details will be treated in the strictest sense. If you are unable to supply all the details at this point, then that is not a problem, as we can help fill in the gaps for you at a latter date.

Firstly, please tell us about your acquaintance:

Title? What is their first name? What is their family name?

What Suburb/City do they live? Their Occupation?

What is their best contact address?
Is this?

Home phone? Work phone? Fax?

email address?

In your view, what would be their nearest or most suitable club?

Have they any previous club involvement?

Now, please tell us about you (for contact purpose only):

Your Rotary title? Your title? What is their first name? What is their family name?

What Suburb/City do you live? What Classification?

What is your best contact address?
Is this?

Your home phone? Work phone? Fax?

Your email address?

What is your club?

Thank you for helping build membership. When the above details are complete (as best as you can), then please simply hit the 'send' button below and a form confirmation will appear in the next screen. Hit the 'Continue' on this form confirmation and the details will automatically be processed. You will then be contacted in the immediate future. Thanks once again for your valued contribution.

Form maintained by RC of Port of Brisbane - email: portofbrisbane@rotary9630.org