0 094EN1511013 THE ROTARY FOUNDATION MULTIPLE DONOR FORMPlease do not send cash Club ofcers can also make contributions to The Rotary Foundation on behalf of their club wwwrotaryorggive Clu ID: 419771
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0 The Rotary Foundation Multiple Donor Form, Page 1 of 2 094-EN—(1013) THE ROTARY FOUNDATION MULTIPLE DONOR FORMPlease do not send cash. Club of cers can also make contributions to The Rotary Foundation on behalf of their club www.rotary.org/give Club Name Club # District # 1. TION/PURPOSE (C heck one Annual Fund — SHARE Endowment Fund — World Fund Endowment Fund — Rotary Peace Centers PolioPlus Fund Endowment Fund — SHARE Other Approved Foundation grant (number mandatory) 2. UTION DETAILS Amount of contribution ency www.rotary.org/give — Payable to “The Rotary Foundation.” Check number Wire transfer Date initiated initiating a wire transfer.) 3. AL DONOR DETAILS (Identify and allocate individual contribution amounts.)Please provide each individual donor’s membership ID, name, and personal contribution amount. Membership ID Membership (as appears on CRS)Membership (as appears on CRS)Total Amount of Contribution 4. AL COMPLETING THIS FORM Name Daytime Phone Email Date The Rotary Foundation Multiple Donor Form, Page 2 of 2Please do not enclose any additional correspondence. For contribution or recognition questions, please call Rotary’s Support Center at 866-9-ROTARY (866-976-8279), or contact the Rotary International of ce that serves your area.Please send your contribution to the appropriate address.UNITED STATESTel: 1-866-976-8279 (toll-free)contact.center@rotary.orgToronto, ON M5W 0E9 Tel: 1-866-976-8279 (toll-free)contact.center@rotary.orgRotary Deutschland Gemeindienst e. V.Rua Tagipuru 209Tel: (55-11) 3826-2966ribo@rotary.orgTel: (41-44) 387 71 11eao@rotary.orgRI JAPAN OFFICETokyo 108-0073Tel: (81-) 03-5439-5800rijapan@rotary.org43 Yoido-dong, Yongdungpo-guTel: (82-2) 783-3077rikorea@rotary.org2nd Floor, Central WingTel: (91-11) 42250101risao@rotary.orgTel: (54-11) 5032-0096/98risud@rotary.orgRI SOUTH PACIFIC AND PHILIPPINES OFFICETel: (61-2) 8894 9800risppo@rotary.orgRI GREAT BRITAIN AND IRELAND (RIBI) OFFICEWarwickshire B49 6PB Tel: 01789 765411