Rotarian Action Group
for the
Alleviation of Hunger & Malnutrition

Rotarian Action Group for the Alleviation of Hunger & Malnutrition

 

Yes! I WISH TO JOIN!   I confirm that I am a Rotarian, Rotarian Spouse or  Rotaractor & want to join in the work of this Rotarian Action Group.

 NAME  ___________________________________________________

MAILING ADDRESS ________________________________________

 CITY___________________STATE___________ZIP CODE_________

COUNTRY_________________________

TELEPHONE______________________    FAX____________________

E-MAIL __________________________________________________

ROTARY CLUB NAME _______________________________________

ROTARY CLASSIFICATION __________________________________

ROTARY DISTRICT __________

Please advise us of your areas of interest & any experience you may have in the Alleviation of Hunger & Malnutrition and current projects your Rotary Club or District is currently supporting: ___________________

 _________________________________________________________

_________________________________________________________

Select Your Level of Membership:

□ US$20 Annual Membership               □ US$100 Lifetime Membership

 □ Payment Submitted via Credit Card/PayPal Account
□ Payment Enclosed

And mail this completed form with your membership payment to:

                                              RAG for the Alleviation of Hunger & Malnutrition
                                              Treasurer PDG Charles Cotten
                                                                                  4015 Boulder Ave
                                                                                   Odessa, Texas 79762 USA
                                                                                   Fax 432-550-0538                                                                                                      Contact us:  
                                                                                      

 This Rotarian Action Group operates in accordance with Rotary International policy, but it is not an agency of, or controlled by Rotary International.