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The Rotarian Action Group for Literacy Membership Application

 

Membership Category (*)

5-Year Membership fee US$ 100.00
1-Year Membership fee US$ 25.00

General Information

Instructions & Notes

  1. Please fill in this online application
  2. Please note that to become a LitRAG member, you need to be a Rotarian or Spouse or Rotaract member. To learn more about Rotary and Rotary Clubs, please visit www.rotary.org
  3. LitRAG’s membership payment system is processed using PayPal system which accepts all major credit cards worldwide.


    If you do not wish to use PayPal you may download the membership form with credit card payment details to.

    LitRAG, C/O J. Barry Smith, Treasurer
    P.O. Box 88517
    Atlanta GA 30356-8517
    USA

    Send to: barry@pseinc.net
    Cash Payment in US$ is also accepted
    Checks should be in US Dollars and drawn on a US based bank
Mr.   Mrs.   Miss   Others (Please specify)
Middle Name
Last Name (*)
Gender Male   Female  
E-Mail Address (*)
(We will send username and password to this provided E-mail Address)
Company
Title
Address 1
Address 2
City
Region/State/Province (*)
Country (*)
Postal Code
Phone Business
Phone Home
Fax
Mobile Phone

Rotary Details

(*** To be LitRAG’s member, you need to be Rotarian or Spouse. In order to apply)
 
Club Position (*)

Status (*)

Member Spouse Rotaractor
Rotary District (*)
Rotary Club (*)
Please note:  
  • All contributions and/or membership enrolments are completely voluntary. However, should you at any time decide to cancel or resign from your membership, we regret we will be unable to give a refund.
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