Philippine Rotary

SUBSCRIBER INFORMATION SHEET RY 2020-2021

Date: ____________________
Rotary Club of _________________________________________ ID Number: __________ District: _______

Total Number of Active Members as of the latest RI Invoice dated _______________________________* ________________
Deductions : 1) Number of Subscriptions to The Rotarian magazine (TR) _______________
2) Number of Benefactors / PR Fellows from this Rotary Club _______________
3) Number of Joint Subscriber/s _______________
Total Deductions (Total of 1, 2 and 3 above) ( _______________ )
Subscription to the Philippine Rotary magazine (put this figure in the no. of members below) LESS ________________
NOTE : RI requires Rotary magazine (PR/TR) subscription for every active Rotary club member*

 TOTAL DUE FOR ONE YEAR : One Year subscription (July 2020 to June 2021) @ P 600.00/member x ______ member/s P_____________________

 PAYMENT OPTIONS (choose one):

 One Year (July 2020 to June 2021) @ P 600.00/member x ______ member/s P______________________
FOR SEMESTRAL PAYMENT
 First Semester (July 2020 to December 2020) @ P 300.00/member x ______ member/s ______________________
 Second Semester (January 2021 to June 2021) @ P 300.00/member x ______ member/s** ______________________
** DUE ON DECEMBER 1, 2020
 UNPAID SUBSCRIPTIONS (PAST SEMESTER/S)
Per latest billing dated ___________________________ ______________________
 MAILING COST (for individually mailed copies only)
______________________
P30.00 / issue x _____ issues (6 or 12) x _____ member/s
TOTAL PAYABLE TO THE PHILIPPINE ROTARY MAGAZINE FOUNDATION, INC. P
PAYMENTS ARE APPLIED FIRST TO UNPAID OBLIGATIONS FOR THE PAST SEMESTER/S BEFORE THEY ARE APPLIED TO THE CURRENT SEMESTER’S SUBSCRIPTION.
 PAYMENT MODE : (checks payable to “PHILIPPINE ROTARY MAGAZINE FOUNDATION, INC.”)
 Cash  Check : Bank ________________________________________ Check no. ___________________________
 Deposited with any Bank of the Philippine Islands Branch (for credit to Philippine Rotary Magazine Foundation, Inc. account no.
3371-0064-93 with BPI - Visayas Ave., Quezon City Branch) - validated deposit slip attached. Please indicate your
five-digit Rotary club number as bank reference number. Important: E-mail validated deposit slip together with this form to
office@philrotary.com to ensure that your payment is properly recorded.

PLEASE SEND COPIES IN BULK TO:

PRESIDENT’S DELIVERY ADDRESS (Official Recipient):
Name : _____________________________________________ President Club Secretary, RY 2020-2021
Signature over printed name
Alternate recipients in case the President is out (max. of 2 names):
_____________________________________________ NOTE:
Address : _____________________________________________ Club subscription to the Philippine Rotary magazine and
/or The Rotarian must equal the number of members in
_____________________________________________
the RI Invoice, except if the club has joint subscriptions.
_____________________________________________ Unpaid subscriptions, even for past Rotary year/s, must
be settled by the club before the end of the current sem-
Landline/Mobile No.:
ester. Non-subscription and non-payment of subscription
E-mail Address: by a club are grounds for suspension/termination of RI
membership.
ALTERNATE DELIVERY ADDRESS (Club Sec. or any Officer):
Philippine Rotary Magazine Foundation, Inc.
Name of recipient : _____________________________________________ G/F PDG Oscar A. Inocentes, Jr. Building
Alternate recipients in case the alternate is out (max. of 2 names): Roces Ave. corner Mo. Ignacia Ave.
_____________________________________________ Bgy. Paligsahan, Quezon City 1103
Contact Nos.: 8332.5729 / +63916.478.6570
Address : _____________________________________________ Email: office@philrotary.com
_____________________________________________ Philippine Rotary, the Magazine of Choice, is an official regional magazine
of Rotary International, published monthly by the Philippine Rotary Magazine
_____________________________________________ Foundation, Inc. It is a member of the Rotary World Magazine Press.
Landline/Mobile No.:
Revised May. 31, 2020
E-mail Address: