Lake Chelan Rotary Community & International Fund Donation - Confidential 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* Date Format: 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 AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarrussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican 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 RicoQatarRéunionRomaniaRussiaRwandaSaint 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 IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe 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" BoardInternational Projects* Nkoilale, Kenya - Brighter Future Project Shelterbox Lesotho - Touching Tiny Lives Scholarships Dean Allen Scholarships Chelan High School Manson High School Community Projects* Community Service Projects Chelan Valley Hope Lake Chelan Senior Living Inititive Lake Chelan Food Bank Nkoilale Brighter Future Project Primary School Scholarships Secondary School Scholarships Brighter Future - Home for Girls Solar Lighting - Village Homes Brian's Scholarship Eco Toilets School Uniforms Library & Computer Laboratory Lake Chelan Senior Living Inititive Senior Living Facility Study (Long Term) Senior Living Action Projects (Immediate) CommentFund 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.Name Company/Fund Matching DonationEmailThis field is for validation purposes and should be left unchanged.