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Lima Rotary Community Cares Application
Use this form to apply for, or to nominate a community member to receive funding in times of hardship.
Release of funding to recipient(s) will be at the sole discretion of the Lima Rotary Club Members.
Recipient(s) must live in Lima, NY.
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Email
*
Your email
Name of applicant/nominee
*
Your answer
Address
Your answer
Phone Number
*
Your answer
Name of person submitting application
*
Your answer
Name and Date of Incident:
*
Your answer
Describe need below (how will funds be used?):
*
Your answer
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