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“Service to others  in time of disasters is in our DNA!”
  

Thank you for paying for your Disaster Network of Assistance Rotary Action Group membership - we appreciate your support!

If you have not already, please fill in your membership information below.  Thanks!!
 

Enter Your Membership Information

Your Skype number (if available) where we can reach you.
Full Name
Your street or post office box.
Your city, state, country and mail code.
Rotary Club Name and District Number (or N/A if not applicable).
Email address where we can reach you.
List membership in any other Rotary Action Group(s).
List current and past Rotary positions.
Additional Comments
Your home phone where we can reach you.
Your business phone number where we can reach you.
Your mobile or cell phone number where we can reach you.
Submit

Membership: You can also download the application and scan/email or send it via postal mail. 

Application Form