Calmed Rotary
Rotarian Alliance (Action Group) for Saving Mothers and Babies (Provisional)

Welcome to the Rotarian Alliance (Action Group) for Saving Mothers and Babies dying unnecessarily around childbirth.

Please complete the form, so that we can get to know more about you as a member of our Group:
Please do not complete items/information you do not wish to share with others within the group.

Name *
Rotary family affiliation - Club, District, Rotaract *
In Rotary family ?
Rotary position(s) *
Degrees, Qualifications, Membership of organisations
Experience
Address
Telephone No:
Mobile No:
Email
Google discussion group – do you wish to join ?
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