Rotary Direct Contribution Form
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1Rotary Direct
(Canada)
Rotary’s recurring giving program
Rotary Direct saves...
Doing
good
✔ Time — Sign up once to give continuous support
✔ Money — Lower administration costs means more
just got easier!
money for programs
✔ Lives — Give to The Rotary Foundation (Canada) to do
good in the world
Enroll online at
Efficient.
or complete the form below
Contributions go directly to The Rotary Foundation
(Canada), resulting in faster processing and achievement of
Mail: Rotary Direct FD420
your club and personal charitable goals.
Rotary International
Convenient.
One Rotary Center
Minimize work for you and your club’s leadership by setting
1560 Sherman Avenue
your own schedule of contributions that count toward
Evanston, IL 60201-3698 USA
Paul Harris Fellow, Paul Harris Society, and Major Donor
Email:
recognition, as well as your club recognition banners.
Fax: +1-847-556-2160
Secure.
Phone: +1-866-976-8279
It’s the safest and most secure way to contribute to
The Rotary Foundation (Canada).
Please call or email to modify your existing
Rotary Direct contributions.
Scan to contribute
✂
Yes! I will enroll in Rotary Direct through
Gift designation
(choose one)
Annual Fund-SHARE
PolioPlus Fund
Other __________
The Rotary Foundation (Canada).
Recurring gift amount
(minimum $10)
Name ____________________________________________________
$25
$85
$100
$250
$1,000
Other ______
Rotary membership ID ______________________________________
Currency*
CAD
USD
*Please note: Recognition is based on USD amounts so you may
wish to take exchange rate fluctuations into consideration when selecting your gift amount.
Club name ________________________________________________
Frequency
Club number ______________________________________________
Monthly
Quarterly
Annually (specify month) ___________
Billing address _____________________________________________
Credit or debit card
City ___________________________ State/Province _____________
Visa
MasterCard
AmEx
Postal code _________________________ Country _____________
Card number
Phone ____________________________________________________
/
Email _____________________________________________________
Expiration
CVN
M
M
Y
Y
Y
Y
Signature _________________________________________________
Contributions to The Rotary Foundation (Canada) made in CAD or USD
THE ROTARY FOUNDATION
are tax deductible by law.
Canada—(712)
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