TRF global Contribution Form

TII. Donor of Contribution

hank you for your contribution to The Rotary Foundation of Rotary International.
Contributions enable The Rotary Foundation to fund projects and programs that
improve and invigorate the lives of people around the world and enhance international
friendship and understanding.
To help us to serve you better, please complete all applicable sections of this form when
making a contribution.

Receipts will be sent for contributions of $25 or more. The donor can be a person, Rotaryclub, Rotary district, company, foundation, or other organization. Contributions are tax
deductible where permissible by law.

III. Recipient of Recognition

Recipients of Paul Harris Fellow Recognition credit can be named at the time of the gift
or at a later time by request from the account holder or club president.

I. Contribution Details

IV. Shipping Address

Please make your check/bank transfer payable to The Rotary Foundation. To make agift of stock, please contact Gift Adminis­tration at 847-424-5345 for instructions. The
following credit cards are accepted: Visa, MasterCard, American Express, Discover, andDiners Club. Do not send cash.
All gifts are designated to the Annual Programs Fund (unrestricted) unless otherwise
indicated.
Changes to the gift designation must be requested within 90 calendar days of yourgift receipt date within the current Rotary year.
Contributions to▪▪ Annual Programs Fund are eligible for district SHARE credit.
▪▪ Permanent Fund, TRF’s Endowments are held in perpetuity.
▪▪ PolioPlus support the ongoing efforts to eradicate polio.
▪▪ An approved Matching or 3‑H Grant must include a grant number. Contributions
without a grant number will be credited to the World Fund.
Contributions to the Annual Programs Fund are eligible toward Rotary FoundationSustaining Member, Paul Harris Fellow, EREY, Multiple Paul Harris Fellow, Paul Harris
Society, and Major Donor recognition. Donors of US$1,000 to the Permanent Fund willautomatically receive Benefactor recognition.

The Rotary Foundation provides a number of different forms of recognition to show
appreciation to individuals for outright contributions to support its humanitarian andeducational programs. All other recognition items are automatically generated basedon an outright gift and/or cumulative total unless you select the “Please do not sendrecognition” box. You may indicate where you would like the recognition item mailed toby completing this section. If this section is not completed, all recognition items will bemailed to the club president.
See www.rotary.org for more information and pictures of all donor recognition items.

V. Recognition Points Transfer

Once a person becomes a Paul Harris Fellow, every dollar he/she donates above theinitial $1,000 gets a Foundation Recognition Point (FRP) that he/she can give toanother person. FRPs are only derived from cash contributions made after becoming
Paul Harris Fellows.
If you have questions regarding recognition or contributions to The Rotary Foundation,please contact TRF Contact Center at 866-9ROTARY (866-976-8279), or e-mailerey@rotary.org, or contact the RI international office that services your area.

Please send your contribution to the appropriate address
United States
The Rotary Foundation
14280 Collections Center
Drive
Chicago, IL 60693 USA
CanadaThe Rotary Foundation(Canada)Box B9322, P.O. Box 9100
Postal Station F
Toronto, ON M4Y 3A5
CanadaGermany
Rotary Deutschland
Gemeindienst e. V.
Breite Strasse 34
40212 Düsseldorf
Germany
RI Brazil Office
Rua Tagipuru 209
01156-000
São Paulo, SP
BrazilRI Europe and Africa
OfficeWitikonerstrasse 15
CH-8032 Zurich
Switzerland
RI Japan Office
NS3 Building 1F
2-51-3 Akabane, Kita-ku
Tokyo 115-0045
Japan

RI Korea Office
Room 705, Miwon Building
43 Yoido-dong, Yongdungpo-gu
Seoul 150-733
Korea
RI South Asia Office
Thapar House
2nd Floor, Central Wing
124 Janpath
New Delhi 110 001
India

RI Southern SouthAmerica Office
Florida 1, Piso 21005 Buenos Aires, CF
Argentina
RI South Pacific andPhilippines Office
McNamara Centre, Level 2
100 George Street
Parramatta, NSW 2150
Australia

RI in Great Britain andIreland (RIBI) Office
Kinwarton Road
AlcesterWarwickshire B49 6PB
England

In countries with currency restrictions, please contact your district Rotary Foundation committee
chair or RI international office for the address to send contributions.

 TRF global Contribution Form
Individual completing this form

III. Recipient of Paul Harris Fellow Recognition Credit
Memorial PHF

NameDaytime Telephone ()Date

Certificate of Appreciation (Business only)

Name (Mr., Mrs., Ms., Dr.)circle family name of Person

E-mailID #I. Contribution Details

Address

Do not send cash. Please disregard options that do not apply in your country.

CityState/Prov.

Amount of New Contribution

Country

Postal Code

Type: (please check one)
Check enclosed(payable to The RotaryFoundation)
Check #Currency
Wire transfer
Date

Rotary Club of Recipient
Visa     MasterCard   American Express
DiscoverDiners Club
Credit Card #Expiration Date
Name as it appears on credit card
Signature

Designation: (please check one)*
Annual Programs Fund(eligible for SHARE)Permanent Fund World Fund(Benefactor recognition only)
Permanent Fund SHARE(Benefactor recognition only)

PolioPlus
Humanitarian Grant #District

number is mandatory

World Fund

Name (Mr., Mrs., Ms., Dr.)ID #Business/Foundation

circle family name of Person

if unknown, leave blank

Address
CityState/Prov.

Country

Postal Code

Check here if this is a new address.
Daytime Telephone ()Club NumberDistrict

IV. Shipping Address
Processing time for recognition is four to six weeks from receipt of application.
Please do not send recognition.

Please send recognition items to:Club president

Other, fill in information below

NameAddress

II. Donor of Contribution (receives donor credit and gift receipt)
Club

if not a Rotarian, leave blankPresentation date
Rush requests may incur shipping charges.

Note: Changes to gift designation can only be requested within 90 days of gift receipt date withincurrent Rotary year.
Personif unknown, leave blankZone

CityState/Prov.

Country

Postal CodeTelephone ()V. Recognition Points Transfer
If this contribution is being “matched” or supplemented with Foundation Recognition Points froma club, district, or individual, please complete the appropriate spaces below.
Foundation Recognition Points from:Club Amount

District AmountIndividual Amount

ID #Authorized Signature
If there are multiple transfers of recognition, please complete a Recognition Transfer Request(102‑EN).
Please retain a copy for your records.

Rotary Club of Donor
Club Number

District
123-EN—(908)