Forms

Charitable Donation Acceptance Agreement

Fremont Women Who Care is pleased to present your organization with donations from our members. We ask that you fill out this form and agree to our privacy stipulations. You will receive a copy of this form via email after you complete it.

Organization

Organization Name

Tax ID

Your organization's federal EIN, for example 12-3456789.

Organization Street Address

City

State

Zip Code

Authorized Representative

First Name

Last Name

Phone

Agreement

On behalf of our organization, I have read and agree to the terms below

Type Your Full Name As Your Signature

I understand this is a legal representation of my signature.

Agreement

By accepting donations from Fremont County Women Who Care, our organization agrees to not publish or use the individual names and contact info of Fremont County Women Who Care donors for future solicitations or publicity; and agrees to mail personal receipts / acknowledgment letters for tax deduction purposes to each Fremont Women who Care donor.

The name “Fremont County Women Who Care” may be used to recognize and/or publicize this donation.

Non-compliance of this agreement will result in denial of considerations for future donations from Fremont County Women Who Care.

* Required field