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internet, convention, and other
membership related costs.
"Join RGHF where History comes Alive!"
When completing this application, please
do not
USE ALL UPPER CASE
letters. Please use Upper and lower case. Example
Paul Harris - not PAUL HARRIS.
RGHF Membership Information
One of the following is required
Rotarian
Rotaractor
Rotary Family Member
required
Rotary International requires that
members of fellowships be Rotarians, Rotaractors, or members
of a Rotarian family.
Full Name:
First, middle, and last
required
Example Paul Harris - not PAUL HARRIS.
Family Name
required
Example Paul Harris - not PAUL HARRIS.
Call name:
(nickname, i.e. "Bill" "Jane")
required
Example Paul Harris - not PAUL HARRIS.
Email:
required
Confirm Email:
required
Gender
Please indicate gender
Female
Male
required
Highest Rotary
Office:
required
Example: President not PRESIDENT
Rotary
Classification:
required
Example Banking not BANKING
Name of Rotary Club:
(Rotary-Rotaract,
etc.) required
Rotary District #:
required
Rotary Zone #:
required
Enter your
Full Mailing Address :
required
Home Phone:
Work Phone:
Cell Phone:
Spouse / Partner's Name
Spouse / Partner's club
How, or by whom, were you
referred to RGHF?
required
Club Web Site URL
or write "not
known"
required
District Web URL
or write "not known"
required
Rotary Awards:
Rotary
Activities:
NEW MEMBER FEE
One option must be selected
from this list *
Members from countries with payment
restrictions: please fill this out completely,
including selection of dues amount, but leave a
note of your alternate method of payment
Please choose
one option below:
Membership Dues
One Year = $30 USD
Five Years = $120 USD
$ 30.00 USD
1 YR NEW MEMBER FEE
$120.00 USD
5 YR NEW MEMBER FEE
Additional Comments
Members
from countries with payment restrictions: please
fill this out completely, including selection of
dues amount, but leave a note of your alternate
method of payment
DISCLAIMER
DISCLAIMER: Please note that Fellowship
membership dues are paid on
an annual basis and due on July 1 of
each year. Individuals who
become members after July 1 are required
to pay the full annual fee
as dues are not pro-rated based on the
time of year an individual
becomes a member. All payments are
immediately applied to the
work of the Fellowship. No refunds or
pro-ration of dues will be made
once payment is submitted or upon
cancellation of membership. Check here that you agree with
our disclaimer
* required
If payment is not
received within ten (10) days or arrangements
are not made, the application will be removed.