Fund Expense Reimbursement – Lake Chelan Rotary

Lake Chelan Rotary Community & International Fund Distribution

INSTRUCTIONS:

Please fill in each field. If submission requires an invoice then please print the form (prior to submitting) and turn in at a Tuesday lunch meeting with the invoice attached. If this is a budgeted distribution then printing won't be necessary. Submitting the form will automatically notify accounting to issue your check. Please allow 7-10 days for delivery.

Date Distribution Requested*

Rotarian Requesting Distribution:*

First Last

Email - Rotarian Requesting Distribution*

Enter Email Confirm Email

Distribution Purpose*

Method of Payment

Amount to be Distributed*

Fund Transfer Method

Check Payable to:

First Last

Company Name

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Distribution Use:*

International Projects*

Kenya Brighter Future Project
Water & Sanitation
Shelterbox
Lesotho - Touching Tiny Lives
Kyrgyzstan (Cashmere)

Scholarships

Buzz on Biz
Dean Allen Scholarships
Chelan High School
Manson High School
Promise Scholarships
Shine On

Community Service*

Chelan Chase
Chelan Swim
Chelan Valley Hope
Community Service Projects
Lake Chelan Food Bank
Senior Living TLC

Kenya Brighter Future Project*

Lake Chelan Senior Living Inititive

Senior Living TLC

INTERACT Projects

Kenya 2017
Goats for Goats
General Interact Fund

Supporting Documents

Max. file size: 50 MB.

Comment

Phone

This field is for validation purposes and should be left unchanged.