Heirisson Member Registration Form

Heirisson members (or Rotarians interested in transferring membership to our club) may send their member profile using the form below.  You may attach a photo or other background information.  Once information is received, the Club Secretary or Webmaster (as appropriate), will attend to your request.

* Required

Title DR MISS MR MRS MS

First Name *

Last Name *

Email Address *

Date of Birth

Home Phone Number *

Attach File (100Mb Limit)

Role in Rotary

Member Since

Board Member * No Yes

Bio

Enter Word Verification in box below *

Updated: 2011-02

Alan Alford

View all members here.

"To achieve great things for others that we could not achieve alone"

Strategic Plan 2010/11

Thursday 7.00 for 7.30am
CAFÉ BELLAVISTA
150 Bennett Street, East Perth

Heirisson is a member of

Rotary International

District 9455

Western Australia

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