Sun Prairie
Lions Club
Charitable
Review Request Form
Please complete the form below as completely as
possible as more information makes it easier to approve your request. Please
mail or FAX to:
Jim
Hathaway
Sun
608-837-7610
1. How is the donation to be used? (Please
include detailed information including a demonstration of need, who/what will
benefit from this gift, other fundraising that is being done to meet this need,
etc.)
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2. For whom and/or what organization is the
donation requested?
_______________________________
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3.
What is the amount of your request?
________________________________________
4. Is this request sponsored by a
Lion? Yes ______ No ______ If Yes, Name and Club
of sponsoring Lion:
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5. Have the Lions donated to this person or
organization in the past? Yes
______ No _______
6. If yes, when and what for?
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Requestors Name:
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Street Address
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City:
Day Phone:
___________________________
Evening Phone:
_______________________
Email Address:
_______________________
Date Submitted:
_______________________
Requests will be acted upon as soon as possible, but we
appreciate four to six weeks for
consideration.