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Member's Corner
 
RIBI Presentation DLF Member's Guide
 
DLF Membership Form Partner Clubs of RDM
     
     
DLF Membership Form
Items with red * are required.

 

   
Type of Membership:
Rotary Club
Individual Rotarian
* REGISTRATION OPTIONS:

   
PERSONAL INFORMATION:
* Last or family name:

* First name (preferred):

Status in Rotary Club:

 
Anne, Annet, Interactor or Rotaractor

* Address (full and complete, including all postal codes, etc.)Line 1:

Line 2:

Line 3:

Line 4:

 

Business Telephone:

* Residence Telephone:


(including all prefixes e.g. xxx-xxx-xxx-xxxx) with country code

Fax:

* e-mail:

   
GENERAL INFORMATION:

 

* Rotary Club:

* District:

* Years In Rotary:

Key Positions Held (President/Governor):

Nearest City or Large Town:

Attractions of Your Area:

Languages you speak:

Special Rotary Interests:

Other Interests:

   
 

 

Send your doll / toys by Regular Mail parcel to the Vice-Chairman

Administrator deepak@rotarydlf.org
 
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