1. a. Telepohne Number of Contact Person of Charitable Organization:
Your answer
1. b. E-mail Address Charitable Organization
Your answer
2. Name of Representative(s)
Your answer
3. Address: (Headquarters and where services are provided, if different)
Your answer
4. Web address of organization:
Your answer
5. When was the organization started?
Your answer
6. How would the donated funds be used?
Your answer
7. What are the current sources of funding for the Organization?
Your answer
8. What population does the Organization serve? (children, women, elderly, mentally ill, etc.) AND how many people will receive services annually (Approximately if known)?
Your answer
9. If selected, would someone from the Organization be available to speak at our next meeting to describe the impact of the donated funds?
Your answer
10. Does the Organization agree not to sell, give, or use the 100+ Women’s contact information for solicitations by themselves or other organizations?
Your answer
11. If this charity is selected by the group, to whom would the check be payable to?
Your answer
12. Does any portion of a contribution go toward administrative fees?