2022 Matching Gifts Form
Form to be filled out after you've made an online donation at My Rotary.org or
set your check directly to the Rotary Foundation.  Points will be awarded when donations are processed by Foundation staff
Sign in to Google to save your progress. Learn more
Email *
Terms Conditions and directions
Normally, a Paul Harris Fellow is awarded upon donating $1000 to the Rotary Foundation (1 point per dollar).  See the examples below of how you can become a (or become a multiple) Paul Harris Fellow
 
New Donors to the Foundation
Become a Paul Harris for only $333 when you begin giving to the Rotary Foundation annual fund. District 6540 will provide balance in points to make you a Paul Harris!  
(Previous donors do not qualify)
 
Current and Previous Donors to the Foundation
            Increase your giving to the annual fund and earn more points!
  1. One extra point will be given for every dollar you increase your giving by 25 Percent - 
Example - If current giving is one $100 give $25 extra ($125 total) and get 25 extra points for a total of 150 points.
  1. Two extra points will be given for every dollar you increase your giving by 50 Percent - 
Example - If current giving is one $100 give $50 extra ($150 total) you will get 100 points for a total of 250 points.
Time Frame
To qualify, you must make your contributions between November 1, 2022, and Feb 28, 2023 to the annual fund.
           
How To Participate
Send your donation to Rotary by mail, or on the giving portal at my.rotary.org. 

Then fill out this form.
Your Name (First Last) *
Your Rotary ID Number *
What Club Are you with *
Email Address You Prefer for Rotary *
Is this your first time contributing to the foundation? *
Donation total previous year if know
This amount if know will help us determine if you qualify for the additional points match on top of the standard match.
Donation Amount this Year *
Donation Route *
Date Donation Made *
MM
/
DD
/
YYYY
Points to be given to *
Required
Recipient Name
Recipient Club with
Recipient Rotary ID Number if known
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This form was created inside of Rotary 6540. Report Abuse
Google Forms