District 7750 Grant Application

To apply for a District Simplified Grant of up to $1,000, you must complete and submit the application below. If you would like more information on the terms and conditions of DIstrict SImplified Grants, Click on the Adobe Acrobat logo below for a copy of the Rotary International document.
Acrobat Terms and Conditions of District Simplified Grants

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Club Name:
Primary Contact: Name:      
Address:
                 
City/Zip:
H-Phone:
B-Phone:
Email:      
Other Contact:
(need 2)
Name:      
Address:
                 
City/Zip:
H-Phone:
B-Phone:
Email:      

Name:      
Address:
                 
City/Zip:
H-Phone:
B-Phone:
Email:      
Project Title:
(less than 5 words)

Detailed Explanation:
(Up to 500 words)

Beneficiaries:
(Who benefits)

Projected Total Cost:
Funds Requested:
Other Funding:
Start Date:
Completion Date:


District Contact:
Gary Goforth MD
155 Academy Street
Greenwood, SC 29646
Work phone: 864-227-4684
Home phone: 864-388-0242
E-mail: gagoforth@earthlink.net (home) or ggoforth@selfregional.org (work)