Celina Rotary Application for Disaster Relief
The Celina Rotary has established a Disaster Relief Fund in an effort to help those affected by the recent tornadoes. Please fill out all questions completely to be considered for relief funds.
Funds are limited.
* Required
Name of Applicant:
*
Your answer
Phone number
*
Your answer
Home Address
*
Your answer
Current Address (if different)
Your answer
Name(s) and ages in home affected
*
Your answer
Explain your loss
*
Your answer
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