projectform

PROJECT SUMMARY

Project Type: (e.g., water, health, children)
Summary: (50 words or less)
Location of Project
Sponsoring Club
Contact Person
Phone
Fax
E.mail
Address
Funds Needed
International Co-sponsor club(s)
Host Co-sponsor(s) in Project Country
District 4110
District 5520
Subtotal
Rotary International Match (50%)
Total

Project Summary may be faxed or mailed to the following address:

Rotary District #5520; C/O Michelle Coons;

Wells Fargo Bank; 150 Washington; Santa Fe, NM 87501

Fax to: 1-505-984 0410 (Updated 11/4/2002)