Renewal

www.joinrghf.org
"We must find a handful of Rotarians who will dedicate their lives to history, so that thousands more might dedicate their lives to Rotary." RGHF annual meeting, Montreal, Canada 2010
RGHF is not responsible for errors

RGHF is not responsible for errors

RGHF CONTRIBUTING MEMBER RENEWAL
RGHF Index

Major Donors - 100% RGHF Clubs

Please fill in this form and submit it along with payment. The payment screen will appear after you fill this out and submit it.

Please do not use all UPPER CASE. Use Upper and lower case for all fields.

BILL SMITH (wrong)
Bill Smith (correct)

Full Name: First, last, and middle

required

Family Name

required

Call name: (nickname) i.e. "Bill" "Jane"

required

Email:

required

Confirm Email:

required

Joined RGHF (year):

required

Highest Rotary Office:

and year of service or enter N/A required

RENEWAL FEE One option must be selected from this list *

Please choose one option below:

	$ 30.00 USD	1 YR NEW MEMBER FEE
	$120.00 USD	5 YR NEW MEMBER FEE

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

ENTER INFORMATION BELOW ONLY IF IT IS NEW SINCE YOU LAST REGISTERED.

Rotary Classification:

Name of Rotary Club:

(Rotary-Rotaract, etc.)

Rotary District #:

Zone #:

Complete Mailing Address:

Enter only if it has changed...

Home Phone:

Work Phone:

Cell Phone:

Spouse / Partner Name

If your Spouse / Partner is a Rotarian, please list their club

Club Web Site URL

District Web Site URL

Recent Rotary Awards:

Recent Rotary Activities:

Fellowship in RGHF:

When you complete this, please log on to www.rghfforum.org and update your data under "profile" adding the year you joined RGHF next to your Rotary or RGHF office, and also in our signature. Visit www.rghfnetworking.org and register or leave a message there. You should also become a Facebook Fan of RGHF at www.historyfan.org

You must enter the number, shown on the left, in order to send this form. Thank you for your patience and understanding.