Roosters Creed
An organization that stands for friendship, fellowship
charity and good times. It stands for busy, worldly men
who take the time to give those less fortunate a helping hand.
It stands for warmth, strength and shared laughter.

SEND MAIL TO:

Roosters Inc.
2222 Michelson
Suite 300
Irvine, CA 92612

Help Feed
Hungry Children
in Orange County
 

2011 ROOSTERS MEMBERSHIP APPLICATION
NAME (PRINT)*
HOME ADDRESS:*
CITY:
ZIP CODE:
PHONE :*
FAX:
E-MAIL ADDRESS:*
WIFE�S EMAIL:
CELL PH:.
AGE:
DATE OF BIRTH:
NICKNAME:
WIFE’S NAME:
BUSINESS NAME
ADDRESS:
CITY:
ZIP CODE
TITLE:
PHONE:
EXT.:
FAX :
TYPE AND DESCRIPTION OF BUSINESS:
MEMBERSHIP IN OTHER ORIGINATION:
COLLEGES-DATES-MAJORS:
INTERESTS/HOBBIES:

COMMITTEES OF INTEREST (YOU MAY CIRCLE TWO, BUT ALL NEW MEMBERS ARE REQUIRED TO JOIN THE AMBASSADORS COMMITTEE): CHARITY-FUNDRAISING; SOCIAL-ENTERTAINMENT; SPEAKERS; PUBLIC RELATIONS; HISTORIAN; MEMBERSHIP; OR AMBASSADORS.

I, HEREBY, APPLY FOR ROOSTERS MEMBERSHIP. I HAVE REVIEWED AND ACCEPT THE BY-LAWS, THE ROOSTERS CREED, AND THE CODE OF CONDUCT. I WILL ATTEND ROOSTERS LUNCHEONS, MEETINGS, SOCIAL EVENTS, AND CHARITY FUNDRAISERS AS A CONDITION OF MEMBERSHIP. I AM AWARE THAT MY APPLICATION FOR MEMBERSHIP MUST BE APPROVED BY THE ROOSTERS BOARD OF DIRECTORS BEFORE IT BECOMES EFFECTIVE.
PROSPECTIVE MEMBER’S SIGNATURE:
DATE:
SPONSOR'S NAME & SIGNATURE:
DATE:
MEMBERSHIP CHAIRMAN’S NAME & SIGNATURE:
DATE:
PRESIDENT’S NAME & SIGNATURE:
DATE:
MEMBERSHIP COMMITTEE ACTIONS:
DATES: APPLICATION RECEIVED:
PROSPECTIVE MEMBER INTERVIEWED:
APPROVAL:
FIRST YEAR DUE’S IS $300 + $100 initiation.
METHOD OF PAYMENT :
DATE:
CHECK #

For Roosters membership information, contact Membership Chairman Michael Cipolla

Cell: 949-933-4473 E-mail:michael@resourcesprinting.com. FAX: 949-888-7952. You may email your application or use Roosters mailing address: 2222 Michelson, Ste. 300, Irvine, CA 92612-1380

Visit www.roostersfoundation.org for complete membership information