Benevolence

If you are an organization interested in being considered for funding from the Benevolence Board, please submit the application below.

Benevolence Application

Organization Name?

Are you a 501(c)3 charity?

Yes

No

What is the purpose of your organization?

Contact Name

First Name

Last Name

Contact Phone

(###)

###

####

Contact Email

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

How much money are you requesting?

$

What will the money be used for?

If your request is granted, to whom should we make the check payable to?