Donation Form

March 7, 2020

Donor Name:

Donor Address:

Donor Phone #: e-mail:

Description of donation:

Retail value: Rotarian

Rotary Club of Moraga is classified as a 501(c) (4) publicly

supported organization and your contribution will be fully tax
deductible. Our Federal tax ID is: 94-61274101.

Please return this form to:

Rotary Club of Moraga, P.O. Box 122, Moraga, CA 94556

For information, contact Frank May at 925-376-8195 or Stephanie

Dickerson at 925-989-5838 (Cell)