Donation Request
Please provide the following information so we can try to help!
All applications are reviewed by the Junior Women's Club of Litchfield Hills.
Donations are not guaranteed.
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
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? *
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