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Golf Tournament
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What is Rotary?
Meet the Members
How to Become a Member
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Sponsor Our Tournament
Beneficiary Request Form
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Suggest a Speaker
HOME
ABOUT US
What is Rotary?
Meet the Members
How to Become a Member
Paul Harris Fellows
Member Dues
Donate
SERVICE PROJECTS
Suggest a Project
Upcoming Events
Volunteer
Golf Tournament
Sponsor Our Tournament
Beneficiary Request Form
SPEAKERS
Suggest a Speaker
CONTACT
Beneficiary Request Form
Name of Rotarian Submitting Request
*
First Name
Last Name
Organization's Name
Contact at Organization
*
First Name
Last Name
Email
How will the funds be utilized if the application is accepted?
*
Requested Donation Amount:
*
$
Has the organization previously received funds from the Lynchburg Morning Rotary?
*
---
Yes
No
Thank you!