JOIN RGHF

YES! I would like to join RGHF (Information provided will be used strictly for RGHF use unless otherwise instructed) (If you are a returning member please log into your account to renew your membership.) iMembersDB Login

Applicants are asked to complete the following information. Starred items(*) are required. After completing this form, click ‘Submit’. A copy of this application will be emailed to you. Or you can also print this form and mail it to the address below.

Member Information:

* First Name:
* Last Name:
* Email Address	This email is already in the system. Please email membership at membership@esrag.org to change your membership type.
* Are you a:	Rotarian Rotaractor Non-Rotarian
* Club Country:
* State/Province:
* Club Name:

Billing Address:

* Address1:	(Address)
Address2:	(Ste/Suite)
* City:
State Code:
Province:
Country Code:
*Postal Code:
Captcha Code:

Westwind Systems, dba iMembersDB, LLC is collecting the above personal information on behalf of ROTARY GLOBAL HISTORY FELLOWSHIP (RGHF) in order to process your online application for RGHF participation. Our organizations do not sell your personal information. The Registrant authorizes the RGHF to collect and use personal information about the Registrant for the purpose of receiving communications and the purposes described in the RGHF policies relating to privacy. The Registrant grants permission to RGHF to photograph and/or record the Registrant’s image and/or voice on still or motion picture film and/or audio tape, and to use this material to promote the RGHF through social media, newsletters, websites, television, film, radio, print and/or displays. The Registrant understands that they waive any claim to remuneration for use of audio/visual materials used for these purposes. Permission may be withdrawn at any time by contacting the RGHF’s Privacy Officer. The Privacy Officer will advise the implications of such withdrawal. Please check the "I Consent" checkbox below to allow us to collect, use, and disclose your personal information as described above.

I Consent