____________________________
Annual subscription renewal
RDU Inc.
P.O.Box 779,
Parramatta NSW 2124
FAX:(02) 98915984
E-mail enquiries@rotarydownunder.com.au

Please, either complete and pay on line, or complete this form and post,
with your credit card details or a cheque to Rotary Down Under

Club or District details

hosting type 1.
annual hosting fee for hosting on rotarnet.
URL of http://rotarnet.com.au/clubname - $75 pa in total
$
hosting type 2.
annual hosting fee for hosting of 'sub' domain -
ie URL clubname.rotarnet.com.au on the Rotary Down Under server
$100 pa in total
$
hosting type 3.
annual hosting fee for hosting of club's own domain hosted
on rotary down under server $150.00 pa in total
$
club type (tick)
Rotary
Rotaract
RYLA
Interact
Other

Secretary / club contact

name

Rotary Club of

Phone

club contact
Fax club contact

E-mail (payor)

club contact
Year renewing

PO Box

club address
Town

State

Postcode

Country

District (number)

Divert e-mail address
for clubs with club@rotarnet.com.au email
Payment Details
Pay by (card) (enter visa / amex / etc as appropriate)
Card number
Expiry DateMonth of year
Name on Card
Amount (1 year) inc GSTtable at top of form shows amount for your club hosting
Cheque enclosed yes / no