||The PolioPlus Society
As a Rotarian and supporter of Polio Eradication, Rotary’s Number One Priority, I wish to participate in the Countdown to History as a member of the
PolioPlus Society of District 5450
(Click this link to access the donation page)
I pledge to help Rotary make history by continuing to contribute the designated amount each year until the World Health Organization certifies that polio has been fully eradicated because, until the world is polio-free, every child is at risk!
Society members will receive a PolioPlus Society membership pin, certificate and an End Polio Now bracelet…and your contribution qualifies for Paul Harris Recognition Points credit.
To make your tax-deductible donation go to https://www.endpolio.org/donate or point your smart phone camera to the QR Code on this page. You can choose a one-time donation of $100 or more, or a recurring donation in the amount and frequency of your choice (We suggest $10/month as the “easy way” to become a PolioPlus Society member.)
Please email your completed form to Dr. Marny Eulberg, firstname.lastname@example.org.
Your PolioPlus Society certificate, pin and bracelet will be presented at your club meeting to make sure you are recognized for your commitment to polio eradication.