Registration RotariansConnectD5300.com - Affiliate Program

 
RotariansConnectD5300.com Affiliate's program is by invitation only. This section is not open to all Rotarians.

This web site can be easily used as an income generator for Rotary Clubs around the world, however, it is not multi level marketing. To be specific, we want the future of this web site to be a way for Rotarians to transact with other Rotarians and simultaneously create new economic avenues to give money to clubs, districts, zones and RI. If you want to apply to become a RotariansConnectD5300.com Affiliate, click here and complete short form.

 

Enter Code referred by existing Affiliate:

Primary Contact & Business Address
First Name:
Last Name:
Address Line 1:
Address Line 2:
City:
State (US Only):
Province (Non U.S.):
Zip/Postal Code:
Country:
E-mail:

Rotary Club Information
Club Name:
Club City:
Club State:
Club Province (International only):
Club Country:
Year Joined:

Phone Information
US Residents
Phone:
International Residents
Phone:

Enter Social Security Number (U.S. Individuals) or Federal Tax ID (U.S. Businesses) International applicants are welcome, not required to complete this field.Please Note: Individuals, this web page is sucure, however, if you prefer to not place your Social Security Number below, just place 000 00 0000 so the form will process. However, you will be required later to provide your real social security number prior to any commission checks being sent.
Social Security #:
Federal Tax ID:

Enter a Password of your choice (Letters and Numbers ONLY) . Passwords must be a minimum combination of 6 letters and/or numbers and with a maximum of 15 letters and/or numbers and Password is case insensitive.
 
Password:
 


Only Submit Form once, duplicated submissions voids registration.





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