REQUEST FOR CHARITABLE FUNDS
Annandale Lions Club

Information and Requirements

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Date Requested (mm/dd/yy)
Name of organization or individual requesting funds
Funds to be used for?
If you have you requested donations from other sources for the same purpose, please list those organizations here.
Amount Requested:
Contact Name
Address
City, State, Zip
Email
Phone Number
Print, complete and mail to: 
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Annandale Lion's Club
PO Box 285
Annandale, MN 55302