Welshpool Rotary Membership Form

Welshpool Rotary Registration Form
Name*

First NameMiddle NameLast Name
Birth Date*

DayMonthYear
Gender*
Address*

Street Address

Street Address Line 2

Town/CityCounty

Post Code
E-mail*
example@example.com
Contact number*
Collection and Use of Personal Membership Data. As part of its effort to assist clubs and districts and facilitate communication with Rotarians, Rotary International (RI) and Rotary International in Great Britain and Ireland (RGBI) collects personal information about Rotary and Rotaract club members and their partners and associates where appropriate, to be used solely for the purpose of conducting business activities. Full privacy statements are available online for RIBI and RI and by contacting the RGBI Support Centre on 01789 765 411 (Option 6) or emailing cds@rotarygbi.org
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Welshpool Rotary Registration Form