Request Funds

Payment Request Form

Rotary Club of Ann Arbor members must submit this form to request funds for project grants, club or foundation-related expenses, etc. Supporting documentation must be provided. A separate form should be submitted for each unique funding request. Please allow 1-2 weeks for all payment requests to be processed. Requests must be reviewed and approved by the Executive Committee before funds can be disbursed.
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  • To which committee/budget line item should this expense be attributed? (Leave blank if you are uncertain)
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    Max. file size: 128 MB.