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P.O. BOX 155, 733 1st STREET, Somers Point, New Jersey

Clark-Eliason Post 352

WE ARE ALWAYS LOOKING FOR VETERANS IN NEED

If you know a Veteran who would benefit from a Donation from the American Legion Riders Post 352

Please fill out the Form Below

Donation Request ID # _______________

Date Received: __________________

Use this Request Form to submit information for a possible donation from ALR Post 352.

Date Submitted: ___________________

If an event, supply date: ______________________________________________

Name / Organization in need: ___________________________________________

If an Organization, is it registered Non-Profit: ______________________________

Mailing Address: ______________________________________________

                           ______________________________________________

Contact Phone Number : _____________________________________________

Contact Email Address: ______________________________________________

Verified Veteran Status: DD214 ______ VA Med ID ______ Other ____ (explain)

______________________________________________

Amount Requested: $ _____________________________

Who initiated the request? ______________________________________________

Has requestor tried any other avenues for donations (church, VA, etc.)? Who:

______________________________________________

Details for Donation (provide full details. Attach separate sheet if needed.):

______________________________________________

______________________________________________

______________________________________________

______________________________________________

______________________________________________

______________________________________________

______________________________________________

______________________________________________

______________________________________________

______________________________________________

______________________________________________

If donation is to be deposited in an account, provide account information:

______________________________________________

______________________________________________

Additional comments the submitter feels are related to this request and the committee should take into account:

______________________________________________

______________________________________________

______________________________________________

______________________________________________

______________________________________________

______________________________________________

______________________________________________

ALR Form DRF-1 (02/19)

Committee use: Date sent to Committee ___________________

 

Head of the Donation Committee Email DonationsPost352@aol.com

or Mail the application to us at Address Below.

c/o ALR Post 352 Donation Committee

P.O. Box 199 Northfield, New Jersey

08225-0199

Legion Riders Post 352 Inc. is a 501(c)(19); 

Tax Id # UPON REQUEST

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