Donation Request
Please provide the following information so we can try to help!
Our current service area is Litchfield, Bantam, Northfield, Goshen & Morris.
All applications are reviewed by the Junior Women's Club of Litchfield Hills.
Donations are not guaranteed.

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Name of Applicant requesting donation *
Name of Organization, if applicable
Applicant phone *
Applicant email *
Applicant address *
Name of potential Recipient (if not the Applicant)
Recipient phone
Recipient email
Recipient address
If you are making the request on someone else's behalf, are they aware of the request?
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Please give a brief description of the financial need and/or donation request. *
Please let us know any other organizations helping, if donation is for an individual/family
Is there anything else we should know?
Who should the JWC contact? *
Thank you
The Junior Women's Club of Hills will be in touch with the selected contact to let them how if and/or how we can help.
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