Funding Request Form Please fill out the form completely. It will be submitted to the Board of Directors of the Clayton Rotary Club (North Carolina) for review. Our Board meets once a month, so please expect a delay in a decision. Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Contact Person's Name *FirstLastPhone Number: *Please enter a valid phone number.Email *EmailConfirm EmailPlease enter a valid email address where we may contact you. Request: Name Organization Organization Name *Organization Address *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeAmount of Request: *Please enter the amount you are requesting from our Club.What is the purpose for your request: *Please provide detail of the nature of the request and how the funds will be used in detail.Submit
