The Benzie Sunrise Rotary Foundation
Donation Form

The Benzie Sunrise Foundation was chartered by the Benzie Sunrise Rotary Club in 2008 as a charitable non-profit organization under Section 501(c)(3) of the Internal Revenue Code (EIN: 26-1470780, DLN:
17053256309000). Its purpose is to provide a tax-deductible vehicle for individual Club members and others in the community to support the charitable, service-oriented projects of the Club. The Foundation also can be utilized by those wishing to make memorials and other special tributes.

When you make a tribute or memorial gift, The Benzie Sunrise Rotary Foundation will send a letter to the recipient or the recipient’s family to let them know about your gift. The amount of your gift is not disclosed. An acknowledgement letter and tax receipt will also be sent to you.

Enclosed is my Gift in the amount of:
[  ] US $50   [  ] US $100   [  ] US $250   [  ]US $500   [  ]US $1000   Other:  	

Designation: 	
[ ] Operating Fund  [ ] Benzie Sunrise Rotary Foundation Endowment at the Community Foundation

Donor Information:

Donor Name:                                                                                                                                                                     Address:                                                                                                                                                                              City:                                                                      State:                                    Zip Code:                                             E-mail:                                                                          Phone:_                                                                                     

Donation Made in Memory or Honor:

In Memory of:  	or In Honor of:  	  For the occasion (optional):  	
Donation Notification to be sent to:

Name (family or individual):                                                                                                                                          Address:                                                                                                                                                                               City:                                                                      State:                                      Zip Code:                                              

How would you like your name(s) to appear on the notification letter?  	

Mail Donation Form and Check To:	The Benzie Sunrise Rotary Foundation
PO Box 341
Beulah, MI 49617