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THE ROTARY FOUNDATION OF ROTARY INTERNATIONAL CREDIT CARD ...
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Short Description: Your completed Credit Card Contribution Form may be sent by fax to ... If you send duplicate requests, your credit card may be charged twice.) ...
Content Inside: THE ROTARY FOUNDATION OF ROTARY INTERNATIONAL CREDIT CARD CONTRIBUTION FORM Please print or type Please process my gift for: US$100 US$250 US$500 US$1,000 Other, US$ Designation: Annual Programs Fund Permanent Fund PolioPlus NOTE: Changes to designation can only be requested within 90 days of gift receipt date within current Rotary year. Gifts to the Annual Programs Fund and the World Fund are eligible for Paul Harris Fellow Recognition. Gifts to the Permanent Fund are eligible for Benefactor recognition. Please attach a TRF Global Contribution Form (123-EN) if you would like to request recognition at this time. If you do not make a designation for your gift, it will be applied to the Annual Programs Fund. Please charge my: Visa MasterCard Diner's Club American Express Discover Account #: Expiration Date: / Month Year Security Code: (last 3 digits on back of credit card) Signature: Today's Date: My Name (as it appears on my credit card) My Address City State/Province Postal Code Country Daytime Telephone E-mail I am a member of the Rotary Club of Club # District # TRF Account # Your completed Credit Card Contribution Form may be sent by fax to The Rotary Foundation at 847-328-5260. (Please send only once. If you send duplicate requests, your credit card may be charged twice.) Gifts to The Rotary Foundation are tax deductible where permissible by law. EN--(808) Clear
