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Rotary Club of Iganga – Membership Interest Form

Thank you for your interest in joining the Rotary Club of Iganga. Please fill in the form below to register your interest. Our team will follow up with you for the next steps.

1 Personal Information

Full Name *

Please provide your full name.

Email Address *

Please provide a valid email address.

Phone Number *

Please provide your phone number.

Date of Birth

Gender

Male

Female

Prefer not to say

Occupation/Profession *

Please provide your occupation.

Organization (if applicable)

Location/District *

Please provide your location.

2 Preferred Membership Category

Active Member
Full participant in club activities, projects, and decision-making.

Honorary Member
Recognition for meritorious service or contribution to Rotary ideals. No dues required.

Corporate Membership
Representing an organization/business within Rotary.

E-Club Member
Participating mainly through online meetings.

Dual Membership (Rotaract + Rotary)
Belong to both Rotaract and Rotary clubs.

3 Areas of Interest in Rotary Service

Community Development

Youth Empowerment

Health and WASH

Education and Literacy

Environmental Protection

Vocational Training

Peacebuilding and Conflict Resolution

Fundraising and Partnerships

4 Why Do You Want to Join Rotary?

Please share a short motivation statement below

5 Declaration

I confirm that the information provided above is true and complete to the best of my knowledge.

You must confirm the accuracy of your information.

I understand that submission of this form does not guarantee automatic membership.

You must acknowledge the membership process.

Support the Rotary Club of Iganga in its mission to create lasting change in our community and beyond.

DONATE TODAY

+256-700-000-000 info@rotaryclubingaga.org

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