MNWT Fundraising Transmittal Form
Use this form to report monetary and in-kind donations only. Do not use to report service hours.
**Please note that this Google form will not send a confirmation email. If you need to confirm receipt, please contact the State Treasurer at, or you have the option of saving a copy of this form before you send it.
Email address
Name of Local Chapter
Your answer
District Number
How was the donation Made?
Amount of Donation
Your answer
Check Number
Your answer
Name of Project
Your answer
Date of Project
Donation to:
Specify Area for which the donation was received
Required if the donations was made for CC, WW or YT
Your answer
Your answer
Phone Number
Your answer
Please complete the captcha before submitting the form.
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