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RAGAS Membership Application


Thanks for your interest. The Action Group is open to active Rotarians, their family members, Rotaractors & allumini. Over 1,700 Rotarians and friends already receive our regular Newsletters. In RI terms however they are not classed as Members. Completion of this form will signify your intention to become a paid-up Member of the Action Group and help it fight human trafficking and slavery in all its forms. Subscription rates are shown below. Please complete all fields shown with a *. Thanks, Stephen Sypula (Treasurer & Vice Chair).

First Name*

Last Name*

Town / City*

State / County*

Country*

Email Address*

Club Name*

Rotary District No.*

Zone-No. if known

Which office best describes your current Rotary position? *

How did you find out about RAGAS? *

Would you be willing to be a Club / District Ambassador or country coordinator of RAGAS? *

Levies have been set by the Board. Please indicate whether you wish to become a Charter Member (5 Years) £53.00, Annual Member (£21.50) or a Rotaractor / Alumni Member £10 annually. Reduced fees are payable if you have a PayPal account or pay in UK £ sterling *

Which best describes your interest in RAGAS *

Your local RAGAS coordinator would like to link up with you to help develop a country / regional / District network - see Website contacts. Are you happy for RAGAS HQ to pass on your contact details? *

Finally, if there is other information you would like to share please write below. Thanks

Please leave this field empty.