Bisbee Rotary Club Donation Request Form

This application is the Bisbee Rotary Club’s invitation to request donations.  Based on the information provided, the Bisbee Rotary Club, at its sole discretion, will approve or not approve this request.

Name
Organization
Phone Number
Email Address
Street Address

City State Zip

Amount Requested   $

Reason for Request

The Bisbee Rotary Club is a community service club. How would our community benefit from this donation?

Will the applicant be available to attend a Bisbee Rotary Club meeting (Thursdays, 12:00 noon at Banditos & Lawmen) to receive the requested donation? Yes No