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November 23, 2017

Donate to Local 4143 Causes

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Updated: Nov. 23 (04:45)

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Donation Request Form

CRAWFORDSVILLE PROFESSIONAL

FIREFIGHTERS LOCAL 4143

Thank you for your request for assistance.  We are pleased to help the community, whenever possible.  Attached you will find a questionnaire that we use to qualify all request that we receive.  If you will fill out and return it, it will be appreciated.

You will find a downloadable document that can be filled out and returned below. 

Name of Organization:

Name of Representative of Organization:

Address:

Phone:

Amount being requested:

Is this a one time request, or yearly:

Have you approached other Organizations for donation:

If so, whom:

If we are able to assist you at this time, would it be possible for us to contact your organization in the future, if we need assistance:

What is the donation going to be used for?

Questions Contact  khowey@crawfordsville-in.gov


Donation Reqest Form
May 10, 2010

 

CRAWFORDSVILLE PROFESSIONAL
FIREFIGHTERS LOCAL 4143
 
Thank you for your request for assistance. We are pleased to help the community, whenever possible. Attached you will find a questionnaire that we use to qualify all request that we receive. If you will fill out and return it, it will be appreciated.
 
Name of Organization:
 
 
Name of Representative of Organization:
Address:
 
 
Phone:
 
Amount being requested:
 
Is this a one time request, or yearly:
 
Have you approached other Organizations for donation:
 
If so, whom:
 
If we are able to assist you at this time, would it be possible for us to contact your organization in the future, if we need assistance:
 
What is the donation going to be used for?
 
Questions Contact Dustin Harris: khowey@crawfordsville-in.gov
 

Download: Donation request L4143.doc



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