Join Polio Survivors Rotary Action Group

PS - you don't have to be a polio survivor to join!

  • Name

  • Contact Info

  • About Yourself

    To better report on our membership to Rotary International, we need to know some things about your affiliation with Rotary
  • About Yourself – optional

  • What would you like others in our Rotary Action Group to know about you?
  • Your Membership Information

  • Additional fields for Polio Ambassador Application

    Please check your SPAM or Junk folder for the confirmation message – some people have reported the email has gone astray.