Lake Chelan Rotary C&IF 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

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
Shine On

Community Projects*

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

Comment

Club Treasurer Approval

Club President Approval

Lake Chelan Rotary Community & International Fund Distribution

INSTRUCTIONS:

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