Donation Request

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Donation Request

This application is the Waukee Rotary Club’s invitation to request donations. Based on the information provided, the Waukee Rotary Club, at its sole discretion, will approve or not approve this request.

Name:

Organization:

Phone:

Email:

Address:

Amount Requested:

Reason for Request:

Other funds obtained:

Will the applicant be available to attend a Waukee Rotary Club meeting (Thursdays, 6:45 a.m.) to receive the requested donation?

Please  e-mail sbanksiv@yahoo.com the form and your responses to Steve Banks for consideration.
 
Steve Banks, President
Rotary Club of Waukee