MEMBERSHIP

MEMBERSHIP REGISTRATION FORM

Name *

First

Last

Address *

Address Line 1

City

State / Province / Region

Postal Code

Country

Note: This address will be used to pickup your sold item for delivery.

Contact Number *

Email *

Social Media Accounts

Facebook

Instagram

Kindly upload Valid ID for verification. *

Click or drag a file to this area to upload.

Allowable filetypes: JPEG, JPG, PNG, & PDF. Maximum Filesize: 5MB

Data Privacy

Your privacy is important to us! We will never share your personal data with third-parties. In order to comply with privacy regulations, we’ll need you to provide consent before submitting your registration using our website.

Consent *

I consent to allow my personal data to be collected and processed for the purpose of Rights Action Philippines membership registration.