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WTEA Philanthropic Request Form
This form is to request a Philanthropic Donation to your charity/event made by the WTEA. Questions, please contact Natalie Taylor,
nat7634@hotmail.com
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* Indicates required question
Email
*
Your email
Your Name
*
FIRST LAST
Your answer
Building Location
*
Central/Operation
Bells
Birches
GTECC
Hurffville
TJ
Wedgwood
Whitman
BHMS
CRMS
OVMS
WTHS 9/10
WTHS Core
WTHS 11/12
Name of the Organization/Foundation
*
Your answer
Address of Organization/Foundation
*
Your answer
Tax ID Number
*
Your answer
Recipient's Name/Memo
*
Your answer
Date Requested to be Sent
*
MM
/
DD
/
YYYY
Brief Explanation on how it relates to you and Washington Township (to be shared with Executive Committee for consideration).
*
Your answer
A copy of your responses will be emailed to the address you provided.
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