Bridger Foothills Fire Relief Form

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Request for financial assistance

First Name: Sally *

Last Name: Hand *

salijoh@gmail.com *

4066008319 *

The Heart and Hand Center

20010 Bridger Hollow Road *

P.O. Box 36

Bozeman *

Montana *

59715 (59771 - PO Box) *

My business is a therapy practice operating primarily from our Bridger Canyon Ranch location. Due to the Fire and the mandatory evacuation, we were not able to conduct our usual business for five days, resulting in a loss of income of approximately $4000. This has created a considerable financial hardship.

As an individual, I am dependent upon the income from my business which is my primary source of survival income. The loss of $4000 has created a considerable financial hardship for me and I am in need of assistance.

I greatly appreciate the help that the United Way has provided and is providing to victims of this Fire!

If you are filling this form out on the behalf of someone else, please list your first and last name and the best phone number to reach you.

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