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Donation Application

Donation Application

  • *XRequired
  • *XRequired
  • *XRequired
  • *XRequired
  • Does the organization have a current account relationship with the bank:
    VALUE+-
    *XRequired
  • *XRequired
  • Is this a one-time request?
    VALUE+-
    *XRequired
  • *XRequired
  • *XRequired
  • Does the organization provide community services primarily for low to moderate income individuals:
    VALUE+-
    *XRequired
  • *XRequired
  • *XRequired
  • *XRequired
  • *XRequired
  • A committee will review your request, and if approved, a check will be issued in 14 days. We may request a photo of our donation. By submitting this application, you are giving consent for the photo to be published on our website and social media outlets.

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