Polio Plus Society Membership Form
Become a member of the Polio Plus Society by completing this form,  donating at least $100 and clicking 'recurring' to make an annual contribution through this link: https://www.endpolio.org/donate 

By joining the Polio Plus Society, you are pledging to support Rotary International's priority of eradicating polio - with a minimum annual contribution of $100 - till the job is done, the last child is immunized, and the world is polio free.  

Members of the Polio Plus Society receive a special pin, along with Paul Harris Fellow credit. You will receive your pin through the mail or at a Club Cluster Assembly. Your club president should announce your membership in the Polio Plus Society at an upcoming meeting.

If you prefer, you may make this contribution through your club, but complete this form as well so Utah Rotary can be made aware of your contribution and properly recognize you.

Thank you so much for your support of this important Rotary initiative that we are so close to achieving.

Rachael Palmer
Utah Rotary Polio Plus Chair
rachaelpalmer73@gmail.com

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