Membership Dues Form
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
My Products
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Rotary Club Membership
$
655.00
CAD
Quarterly membership
$
163.75
CAD
Family membership
$
350.00
CAD
Satellite membership
$
400.00
CAD
Test Membership
$
5.00
CAD
Credit Card
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