Rotary Club of Rotorua

Applicant Details
Name of applicant/organisation
Contact person
Contact e-mail
Contact phone
Regional focus

Funding Details
Amount sought$

Are you
- An individual
- A community organisation

Do you have charitable status?

Have you
- Sought other funding
- Contributed personally
- Prepared a budget

If you are seeking only partial funding, what if the full target is not met?

Target benefits
- Youth activities
- Enchance wellbeing
- Overcome social disabilities
- Healthier communities
- Active communities
- The Rotary brand
- Positive educational/literacy outcomes

Bank Account Number
Account Name

Additional Detail
Please provide any additional details

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