Benevolent Form - Marriage

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Members are eligible to receive a gift up to a maximum value of $125.00 for in recognition of marriage. Please complete this form and submit. To be eligible, the form must be submitted within 2 months of the event. When providing your email address, please use your personal and not your work email.

Email *

What is your first and last name? *

What is the first and last name of member who is celebrating their marriage? *

Please provide the date of the marriage event. *

YYYY

Please provide the member's complete mailing addres to where to the gift will be sent. Include the unit number where applicable. *

A copy of your responses will be emailed to the address you provided.

Submit

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