RSC Membership Form

Roseburg Sister Cities, Inc.

Membership Application
Membership Type*

New MemberRenewing Member

Family/Member Name*
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Main Phone Number*
Please enter a valid phone number.
Main Phone Type*
Additional Phone Number
Please enter a valid phone number.
Additional Phone Type

Email*
example@example.com

Let Us Know If You Are Interested...

HostingFuture Board AvailabilityPlan ActivitiesBi-Annual Visit to JapanJapanese Film FestivalAnnual Dinner HelperJapanese Language/InterpreterNewsletter HelperFriendship Garden

YOUR MEMBERSHIP MIGHT NOT YET BE COMPLETE...

Membership to the Roseburg Sister Cities costs $30 per household.

IF YOU ALREADY PAID Membership at/after November 2025 you are now ACTIVE. Membership is November through November.

After Clicking "Submit" either follow the link for online membership dues

- OR -

Send your payment by mail to: P.O. Box 1643, Roseburg, OR 97470

Checks made payable to: Roseburg Sister Cities, Inc.
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