AOH Division #4 Charitable Contribution Request
Please fill out this form with all of the information asked for consideration for a donation. Requests are reviewed, discussed and voted on at our monthly meetings on the 3rd Monday of the month.
Person Requesting Donation *
Your answer
Phone # of Person Requesting Donation *
Your answer
Email Address of Person Requesting Donation *
Your answer
What organization or individual is this donation for? *
Your answer
Why is this donation needed? *
Your answer
What is the dollar amount being requested? *
Your answer
When is the donation needed by? *
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What is the mailing address where the donation can be sent to? *
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