Rotary - Chelan Chase Donation The Fund” is incorporated and recognized by the US Internal Revenue Service as a 501(c)3 non-profit organization. Contributions to “The Fund” are Tax Deductible under IRS regulations. The IRS Tax Exempt number is: EIN 45-5569645 Date* MM slash DD slash YYYY Individual Name* First Last Company Name Email Enter Email Confirm Email Knowing your e-mail address will enable us to immediately send you an acknowledgment of your contribution.Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Mobile Telephone Number:Home/Business Telephone Number?Preferred Method of PaymentPlease ChooseCredit CardPersonal CheckCompany CheckCashCash ($)Please forward your personal check to the attention of: Fund Administrator, PO Box 601, Chelan, WA 98816Is Donation "Tax Exempt" Under IRS RulesNoYesIf Goods or Services" were received this donation is not eligible for "Tax Exempt" Status under IRS Rules. The Administrators of "The Fund" are not responsible for determining "Tax Exempt" status or for the interpretation of IRS Rules.Personal Check Donation ($)Please forward your personal check to the attention of: Fund Administrator, Lake Chelan Rotary Community & International Fund, PO Box 601, Chelan, WA 98816Company Check Donation ($)Please forward your company check to the attention of: Fund Administrator, Lake Chelan Rotary Community & International Fund, PO Box 601, Chelan, WA 98816Credit Card Donation ($) Please use my Donation for:*Please ChooseCommunity ProjectsInternational ProjectsScholarshipsINTERACTAt the Discretion of "The Fund" BoardFund MatchingNoYesIn some cases, it may be possible for your contribution to "The Fund" to be matched by the company you work for or a company you may have worked. This would only apply if the company has their own 501(c)3 IRS tax exempt Foundation. The Administrators of "The Fund" are not responsible for requesting matching funds.Community Projects* Chelan Chase Chelan Swim Chelan Valley Hope Community Service Projects Lake Chelan Food Bank Senior Living TLC Comment Name Company/Fund Matching Donation CommentsThis field is for validation purposes and should be left unchanged.
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