Request for Aid Form

Please fill out the form below and at the end of the form click submit, and your form will be send directly to the Vice President of Shipping. The form will then be reviewed to ensure it is complete. It will then be forwarded to the Rotary World Help Board of Directors for their approval. Once this is given, a project number is assigned to your container and you will be advised of your acceptance. Three final shipping quotes will be obtained, the sponsoring club will put the finances together and a tentative loading and shipping date will be arranged.

IMPORTANT INFORMATION:

The shipment consignee is responsible for any and all duties, taxes, fees or any other payment whatsoever, that may be levied. The shipment Consignee will also be responsible for any demurrage charges if the container is held up once it has entered the country. With this request for aid form the consignee certifies that the consignee organization is entitled to receive humanitarian cargo free of all important charges, taxes, custom duties and fees.

The Shipment Consignee also acknowledges they are responsible for any and all transportation costs from the port of entry to the goods’ ultimate destination in their country.

**PLEASE COMPLETE IN ENGLISH AND ONLINE ONLY – OTHER LANGUAGES NOT ACCEPTED.  ALL BOXES BELOW MUST BE COMPLETED**.

PLEASE CLICK "SUBMIT HERE!!"