LOS ALAMOS VALLEY MEN’S CLUB

Donation Request Form

Organization * Date * Address * Telephone * Email Address * Year Organization was Established * Contact Name * Job Title/Position * Years with Organization * Is this request for an individual or an organization? *

Note: LAVMC donations must benefit charitable purposes and not private individuals.

Description of Project/Program * What are you requesting from LAVMC? * Has this organization/individual applied for a donation from LAVMC before? * If yes, when and for what purpose? Have you or your organization ever volunteered with LAVMC? If yes, when and for which event(s)? Would you or your organization be willing to volunteer for future LAVMC events? If awarded, who should the check be made out to? Mailing Address for Donation Check Are you willing to provide a follow-up report within one month of project completion? *

Submission & Review Info

Donation requests must be submitted in writing prior to the monthly Board Meeting (1st Thursday of the month). Approved requests may be presented at the General Membership Meeting (3rd Thursday). You may be asked to attend a meeting to present more information.

Mail: LAVMC, PO Box 13, Los Alamos, CA 93440
Email: [email protected], [email protected]

Contact

(805) 619-8631

[email protected]

429 Leslie Street, POB 13, Los Alamos, CA 93440

Please complete the form below and submit. Or, if you prefer to download and print please click the button for a PDF.

LOS ALAMOS VALLEY MEN’S CLUB

Donation Request Form

Submission & Review Info

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