Membership

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DNA-RAG Membership
YES! I would like to join DNA-RAG
(Information provided will be used strictly for DNA-RAG 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
* Are you a:
* 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 this personal information on behalf of the Rotary Global History Fellowship (DNA-RAG) to process your online application. Our organizations do not sell your personal information. The Applicant authorizes DNA-RAG to collect and use your personal information for the purpose of receiving communications and the purposes described in the DNA-RAG policies relating to privacy. The Applicant grants permission to DNA-RAG to photograph and/or record the Applicant’s image and/or voice on still or motion picture film and/or audiotape, and to use this material to promote DNA-RAG through social media, newsletters, websites, television, film, radio, print and/or displays. The Applicant 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 Permission may be withdrawn at any time by contacting the DNA-RAG. DNA-RAG 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

If you are paying by cheque, please print the completed application now. Click here to print.