Kiwanis Donation Request
Please complete the following information to assist us in making our donation decision.
Date *
MM
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DD
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YYYY
Organization Name *
Your answer
Contact Name *
Your answer
Address *
Your answer
Phone number *
Your answer
Email *
Your answer
What is the specific purpose of your request? *
Your answer
Dollar amount requested? *
Your answer
How long has your organization been in operation? *
Your answer
Does your organization conduct a fund drive each year and operate on a specific budget? *
Your answer
Please describe the general purpose and organizational makeup of your organization. *
Your answer
Specifically, will this donation benefit children and if so how many? *
Your answer
Any other information you think would assist us in making our decision? *
Your answer
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