Park City Rotary Club

PO Box 1115 Park City, Utah 84060 http://www.parkcityrotary.org/ E-mail parkcityrotary@gmail.com

Park City Rotary Club Donation Request Form E-mail to: parkcityrotary@gmail.com or FAX to 888-789-2124
Donation requests are reviewed annually - due March 15th of each year Organization Name: Contact Name: Organization Address:

Phone Number: Email Address: Organization web site:

Please provide a brief overview of your organization:

Amount requested:

Rotarian member familiar with your organization required please:

Please describe what the donation will be used for:

Will a representative from the organization be willing to attend a Park City Rotary Club meeting to present their organization or cause? (Tuesday Luncheon at 12:15 PM at The Grub Steak in Park City)

Email to parkcityrotary@gmail.com or FAX to 888-789-2124 Donation requests are reviewed annually - due March 15th each year