District 4
2007-2008 Monthly Club Donation Form
please fill in and return to your Deputy Governor
and return to the District Service Director
Club type: Kinsmen Kinette Kin
Club Name
Month
Cystic Fibrosis
Kin Canada Bursaries
STARS
National Disaster
Community Service
Highway Holdup
Other
Total Service Dollars
Service Hours
Service Hours = $Value
Note: re Service hours - 14.00 per hour
unskilled labour = $10.00 per hour
skilled labour = $25.00 per hour
Please indicate if your club has made a direct donation to a CF Chapter & how much.
If you have any questions regarding the categories or the amounts to
fill in, please contact your Deputy Governor or Penny Lees-Smith, District Service Director
780-621-0517 pbsmith@telusplanet.net
ce Director