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. Deadline to submit is July 15, 2019
* 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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